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Radial Shift of the Ulnar Fingers: A New Technique for Special Cases of Longitudinal Central Deficiency

From the SOS Main Strasbourg, France, the University of Rotterdam, The Netherlands, the Multimedica Hospital Milano, Italy and the University of Gran Canaria, Spain

Correspondence: Dr Patrick Loréa, MD, SOS Main Strasbourg, 4 rue Ste Elisabeth, 67000 Strasbourg, France. Tel./fax: +33 388 354 500., E-mail: loreapatrick{at}yahoo.fr

Treatment of central longitudinal deficiencies is well defined, with different techniques established for the classical clefts. However, none of these techniques is easily applied to the treatment of very deep clefts accompanied by a significant divergence of the metacarpal bones. In such cases, the results of current techniques are disappointing. We propose a new technique of "Translocation in the Radial direction of the Ulnar Finger(s)" (TRUF) by intra-carpal osteotomy. The results are illustrated in three clinical cases. The TRUF operation allowed closing of the cleft, alignment of the metacarpal bones and preservation of carpometacarpal mobility. When necessary, a metacarpal synostosis may be treated at the same procedure.

Key Words: congenital malformation • central longitudinal deficiency • osteotomy • translocation • cleft hand

Journal of Hand Surgery (British and European Volume), Vol. 31, No. 2, 156-161 (2006)
DOI: 10.1016/J.JHSB.2005.12.003


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