title: Strategic two-stage approach to radial club hand.
abstract: In patients with radial club hand (RCH), there is absence of the radius and severe hypoplasia of the thumb, so both wrist stabilization and thumb reconstruction are essential. When wrist stabilization is performed, recurrence of angulation is a problem. When thumb reconstruction is done, preservation of at least one major dorsal vein is important to prevent necrosis of the reconstructed thumb. We executed a strategic approach to RCH, which aimed to prevent both recurrence of angulation and necrosis of the reconstructed thumb.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
authors.forename: Masao
authors.initials: M
authors.lastname: Fujiwara
authors.forename: Yoko
authors.initials: Y
authors.lastname: Nakamura
authors.forename: Hidekazu
authors.initials: H
authors.lastname: Nishimatsu
authors.forename: Hidekazu
authors.initials: H
authors.lastname: Fukamizu
keywords: Centralization; Pollicization; Radial club hand; Skin incision; Thumb reconstruction