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Journal of Research in Medical Sciences، جلد ۱۴، شماره ۳، صفحات ۱۷۹-۰
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عنوان انگلیسی Recurrence rate after radial club hand surgery in long term follow up
چکیده انگلیسی مقاله BACKGROUND : Radial club hand includes wide spectrum of alformations that involve radial side of forearm. Conservative treatments are recommended to the milder types and surgical nterventions specially centralization for the severe forms. Recurrence after centralization is one of the challenging problems in this anomaly. In this study, we assessed the recurrence rate of centralization in radial club hand surgery in long term follow up. METHODS : In this retrospective study, we reviewed the records and radiographies of 9 patients with radial club hand who underwent centralization to correct the deformity in the hand surgery department. Patients' age, type of the thumb anomaly, associated anomalies in other systems, involved side, type of radial club hand, hand-forearm angle preoperative, post operative and in the last follow up visit, and centralized wrists motion range in the final follow up visit were all assessed and reported. RESULTS : Eleven cases of radial club hand in nine patients underwent centralization. Mean age at the time of the centralization was 17 (6-72) months and mean follow up was 90 (48-170) months. Preoperative hand-forearm angle was 75 (30-110) degrees, immediate postoperative angle was 25 (15-35) degrees and in the last follow up visit it was 52 (40- 60) degrees. The amount of correction was 66% and loss of correction in long term was 54%. CONCLUSION : Centralization still can be a standard procedure in treatment of patients with radial club hand with acceptable results. KEYWORDS : Radial Club Hand, Radius/Surgery, Recurrence, Surgical Treatment, Wrist, Deformity.
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نویسندگان مقاله هومن شریعت زاده | hooman shariatzadeh
assistant professor of orthopaedic surgery, shafa yahyaian hospital, iran university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)

داود جعفری | dawood jafari
assistant professor of orthopaedic surgery, shafa yahyaian hospital, iran university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)

حمید طاهری | hamid taheri
assistant professor of orthopaedic surgery, shafa yahyaian hospital, iran university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)

فرید نجد مظهر | farid najd mazhar
hand surgery fellow, shafa yahyaian hospital, tehran, iran.
نشانی اینترنتی http://jrms.mui.ac.ir/index.php/jrms/article/view/1895
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده Short Communications
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