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Over 20-year follow-up of Miura reconstruction of cleft hand

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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.

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References

  1. Barsky AJ. Cleft hand: classification, incidence and treatment. J Bone Joint Surg Am. 1964;46:1707–20.

    CAS  PubMed  Google Scholar 

  2. Flatt AE. The care of congenital hand anomalies. St. Louis: CV Mosby; 1977. p. 265–85.

    Google Scholar 

  3. Glicenstein J, Guero S, Haddad R. Fentes medianes de la main. Ann Chir Main Memb Super. 1995;14:253–63.

    Article  CAS  PubMed  Google Scholar 

  4. Hartsinck JJ. Beschryving van Guiana, of de wilde Kust in Zuid-America, vol. 2. 1st ed. Amsterdam: Gerrit Tielenburg; 1770. p. 811–2.

    Google Scholar 

  5. Jones NF, Kaplan J. A new documentation system for congenital absent digits. Hand. 2012;7(4):391–9.

    Article  PubMed Central  PubMed  Google Scholar 

  6. Manske PR, Halikis MN. Surgical classification of central deficiency according to the thumb web. J Hand Surg [Am]. 1995;20:687–97.

    Article  CAS  Google Scholar 

  7. Miura T. Congenital hand anomalies, and their association with other congenital abnormalities. Hand. 1981;13(3):267–70.

    Article  CAS  PubMed  Google Scholar 

  8. Miura T, Komada T. Simple method for reconstruction of the cleft hand with an adducted thumb. Plast Reconstr Surg. 1979;64:65–7.

    Article  CAS  PubMed  Google Scholar 

  9. Nutt JN, Flatt AE. Congenital central hand deficit. J Hand Surg. 1981;6:48–60.

    Article  Google Scholar 

  10. Ogino T. Teratogenic relationship between polydactyly, syndactyly and cleft hand. J Hand Surg (Br). 1990;15:201–9.

    Article  CAS  Google Scholar 

  11. Rider MA, Grindel SI, Tonkin MA, Wood VE. An experience of the Snow-Littler procedure. J Hand Surg (Br). 2000;25(4):376–81.

    Article  CAS  Google Scholar 

  12. Sandzen SC. Classification and functional management of congenital central defect of the hand. Hand Clin. 1985;1:483–98.

    PubMed  Google Scholar 

  13. Snow JW, Littler JW. Surgical treatment of the cleft hand. In: Transactions of the fourth international congress of plastic surgery and reconstructive surgery. International congress series No. 174, Excerpta Medica, Amsterdam, 1967:888–893.

  14. Tada K, Yonenobu K, Swanson AB. Congenital central ray deficiency in the hand—a survey of 59 cases and subclassification. J Hand Surg. 1981;6:434–41.

    Article  CAS  Google Scholar 

  15. Ueba Y. Plastic surgery for the cleft hand. J Hand Surg [Am]. 1981;6:557–60.

    Article  CAS  Google Scholar 

  16. Upton J. The surgical approach to the cleft hand. In: Saffar P, Amadio PC, Foucher G, editors. Current practice in hand surgery. London, Martin Dunitz 1997. p. 421–428.

  17. Watari S, Tsuge K. A classification of cleft hands, based on clinical findings. Theory of developmental mechanism. Plast Reconstr Surg. 1979;64:381–9.

    Article  CAS  PubMed  Google Scholar 

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Conflict of Interest

John D. Beck declares that he has no conflict of interest.

Benjamin Chang declares that he has no conflict of interest.

Neil F. Jones declares that he has no conflict of interest.

Statement of Human and Animal Rights

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008 (5). Informed consent was obtained from all patients for being included in the study.

Statement of Informed Consent

This report was a retrospective review and identifying information, including patient name initials, were omitted from pictures and subsequently informed consent was not required for the purpose of publication.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, University of California Irvine, 101 The City Drive South, Orange, CA, 92868, USA

    John D. Beck & Neil F. Jones

  2. Hospital of the University of Pennsylvania, 3400 Spruce Street, 10 Penn Tower, Philadelphia, PA, 19104, USA

    Benjamin Chang

  3. 12911 120th Ave NE, H-10, Kirkland, WA, 98034, USA

    John D. Beck

Authors
  1. John D. Beck
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  2. Benjamin Chang
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  3. Neil F. Jones
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Corresponding author

Correspondence to John D. Beck.

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Type of study/level of evidence: Therapeutic IV

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Beck, J.D., Chang, B. & Jones, N.F. Over 20-year follow-up of Miura reconstruction of cleft hand. HAND 10, 319–322 (2015). https://doi.org/10.1007/s11552-014-9627-9

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  • DOI: https://doi.org/10.1007/s11552-014-9627-9

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