[Progressive correction of the hand in the congenital radial clubhand].
The therapeutic objective of a congenital radial clubhand is to obtain, at the end of the growth, a functional hand, that is a hand with a thumb, in the axis of the forearm with the most cosmetic aspect as possible. The challenge lies in the fact that the hand is not in the axis of the forearm. Thus, some authors realize a surgical centralization or radialization by doing a direct release of the retracted soft tissues. On the other hand, it is possible to correct the hand without any invasive surgery by using an external fixator allowing to correct the hand progressively. The Taylor Spatial Frame fixator is a system of external fixation which allows, by using a software, to realize this correction accurately.
Service de chirurgie orthopédique, hôpital de la Timone-Enfants, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France. franck.launay@ap-hm.fr
F
F
Launay
Y
Y
Glard
S
S
Jacopin
J-L
JL
Jouve
G
G
Bollini
D016267:External Fixators; D006228:Hand Deformities, Congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D011859:Radiography; D011884:Radius / Q000002:abnormalities*; D012984:Software
Centralisation progressive de la main dans la main bote radiale congénitale.