Treatment of the windblow hand deformity / 中华整形外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To discuss the treatment of the windblow hand deformity.</p><p><b>METHODS</b>We treat 18 patients with operations step by step. First phase to improve the thumb function; Second phase shift the flexor digitorum superficialis of the middle and little finger to improve the ulnar drift of the digits; Third phase to solve the flection deformity of the palm and digits.</p><p><b>RESULTS</b>We follow the patients for 6 - 72 months, only lost 3.11 of 15 patients have the thumb function recovered. 9 patients had their ulnar drift of the digits corrected, 2 patients partly corrected, 4 have relapse. 5 among the 15 patients were offered second operation, to have the ulnar arthrosis bursa contracted, using abduction splint, after rehabilitation 4 patients have the deformity corrected, 1 has partly corrected.</p><p><b>CONCLUSIONS</b>Operation step by step is better for the complex windblow hand deformity, solve one major problem each time,and systemic rehabilitation therapy is needed for satisfied curative effect.</p>