组织工程与重建外科杂志2026，Vol.22Issue(2)：127-130,4.DOI:10.3969/j.issn.1673-0364.2026.02.003
先天性扣拇畸形的临床特点及个性化治疗
Clinical characteristics and personalized treatment of congenital clasped thumb
黄良库 1张红星 1尚驰 1田钊 1李强 1薛鹏 1王刚1
作者信息
- 1. 710054 陕西省西安市 西安市红会医院手外科南院区
- 折叠
摘要
Abstract
Objective To investigate the clinical characteristics,personalized treatment strategies,and clinical outcomes of congenital clasped thumb.Methods From January 2010 to January 2025,a total of 40 patients with congenital clasped thumb were treated.The patients were classified according to the Tsuyuguchi classification system:6 cases of type Ⅰ,22 cases of type Ⅱ,and 12 cases of type Ⅲ.Based on the classification,individualized surgical interventions and treatment protocols were implemented.For type Ⅰ injury,conservative management involving orthosis application was implemented for infants under one year of age,and surgical treatment was performed for patients who failed conservative treatment.For type Ⅱand Ⅲ injuries,personalized surgical approaches were employed.These procedures included reconstruction of extensor function,restoration of abduction capacity,expansion of the constricted first web space,and management of the deep head of the flexor pollicis brevis along with the transverse head of the adductor pollicis.Results Postoperative follow-up was conducted for all 40 patients,ranging from 12 to 96 months(mean 26.3 months).Therapeutic efficacy was evaluated using the Gilbert assessment criteria.The overall excellent-to-good rate was 80％(32/40).Specifically,type Ⅰ thumbs achieved an excellent-to-good rate of 83.3％(5/6),type Ⅱ thumbs 82.8％(18/22),and type Ⅲ thumbs 75％(9/12).Conclusion Patients in this cohort exhibited satisfactory post-treatment thumb mobility and high treatment safety.Personalized treatment based on the clinical characteristics of patients can obtain satisfactory clinical efficacy,which is worthy of promotion and reference.关键词
先天性扣拇畸形/临床特点/个性化治疗Key words
Congenital clasped thumb/Clinical characteristics/Personalized treatment分类
医药卫生引用本文复制引用
黄良库,张红星,尚驰,田钊,李强,薛鹏,王刚..先天性扣拇畸形的临床特点及个性化治疗[J].组织工程与重建外科杂志,2026,22(2):127-130,4.
