title: Over 20-year follow-up of Miura reconstruction of cleft hand.
abstract: Several techniques have been described for cleft hand closure and web space reconstruction in patients with central deficiency; however, long-term documentation of results is rare. We present a 23-year follow-up of a patient who underwent the Miura procedure for a Manske type IIb cleft hand exhibiting long-term aesthetic and functional success. In addition, early skin flap necrosis and late web space contracture, which have been seen after the Snow-Littler procedure, did not occur in this case.
authors.affiliation: Department of Orthopaedic Surgery, University of California Irvine, 101 The City Drive South, Orange, CA 92868 USA ; 12911 120th Ave NE, H-10, Kirkland, WA 98034 USA.
authors.forename: John D
authors.initials: JD
authors.lastname: Beck
authors.affiliation: Hospital of the University of Pennsylvania, 3400 Spruce Street, 10 Penn Tower, Philadelphia, PA 19104 USA.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Chang
authors.affiliation: Department of Orthopaedic Surgery, University of California Irvine, 101 The City Drive South, Orange, CA 92868 USA.
authors.forename: Neil F
authors.initials: NF
authors.lastname: Jones