{"title":"使用外固定器进行蹼成形术,治疗阿博特综合征引起的复杂并趾畸形。","authors":"Akira Kinoda , Kazuki Sato , Takuji Iwamoto , Noboru Matsumura , Taku Suzuki , Yasuhiro Kiyota , Takeshi Kimura , Toshiyasu Nakamura","doi":"10.1016/j.jos.2024.04.007","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Webplasty can be conducted for complex syndactyly<span> caused by Apert syndrome<span> (also referred to as Apert hand) by extending the soft tissue in the lateral direction using an external fixator. This study aimed to verify the usefulness of webplasty without skin grafting.</span></span></div></div><div><h3>Methods</h3><div>Webplasty with lateral extension was conducted at a single institution from 2015 to 2023. The patients were four children with Apert hand aged 1–3 years. A custom-made small external fixator was used for all of the soft tissue extension.</div></div><div><h3>Results</h3><div>Webplasty without skin grafting was completed by the time all five patients were 5–6 years of age.</div></div><div><h3>Conclusion</h3><div>Webplasty without skin grafting was possible with lateral extension of the soft tissue using a simple external fixator.</div></div>","PeriodicalId":16939,"journal":{"name":"Journal of Orthopaedic Science","volume":"30 2","pages":"Pages 302-306"},"PeriodicalIF":1.5000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Webplasty using an external fixator for complex syndactyly caused by Apert syndrome\",\"authors\":\"Akira Kinoda , Kazuki Sato , Takuji Iwamoto , Noboru Matsumura , Taku Suzuki , Yasuhiro Kiyota , Takeshi Kimura , Toshiyasu Nakamura\",\"doi\":\"10.1016/j.jos.2024.04.007\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Webplasty can be conducted for complex syndactyly<span> caused by Apert syndrome<span> (also referred to as Apert hand) by extending the soft tissue in the lateral direction using an external fixator. This study aimed to verify the usefulness of webplasty without skin grafting.</span></span></div></div><div><h3>Methods</h3><div>Webplasty with lateral extension was conducted at a single institution from 2015 to 2023. The patients were four children with Apert hand aged 1–3 years. A custom-made small external fixator was used for all of the soft tissue extension.</div></div><div><h3>Results</h3><div>Webplasty without skin grafting was completed by the time all five patients were 5–6 years of age.</div></div><div><h3>Conclusion</h3><div>Webplasty without skin grafting was possible with lateral extension of the soft tissue using a simple external fixator.</div></div>\",\"PeriodicalId\":16939,\"journal\":{\"name\":\"Journal of Orthopaedic Science\",\"volume\":\"30 2\",\"pages\":\"Pages 302-306\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Orthopaedic Science\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0949265824000897\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Orthopaedic Science","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0949265824000897","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
Webplasty using an external fixator for complex syndactyly caused by Apert syndrome
Background
Webplasty can be conducted for complex syndactyly caused by Apert syndrome (also referred to as Apert hand) by extending the soft tissue in the lateral direction using an external fixator. This study aimed to verify the usefulness of webplasty without skin grafting.
Methods
Webplasty with lateral extension was conducted at a single institution from 2015 to 2023. The patients were four children with Apert hand aged 1–3 years. A custom-made small external fixator was used for all of the soft tissue extension.
Results
Webplasty without skin grafting was completed by the time all five patients were 5–6 years of age.
Conclusion
Webplasty without skin grafting was possible with lateral extension of the soft tissue using a simple external fixator.
期刊介绍:
The Journal of Orthopaedic Science is the official peer-reviewed journal of the Japanese Orthopaedic Association. The journal publishes the latest researches and topical debates in all fields of clinical and experimental orthopaedics, including musculoskeletal medicine, sports medicine, locomotive syndrome, trauma, paediatrics, oncology and biomaterials, as well as basic researches.