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Kamptodaktili tedavisinde farklı bir yaklaşım

A different approach for treatment of camptodactyly.

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Abstract (2. Language): 
Camptodactyiy is a congenital fiexion deformity of the proximal interphalangial joint in the anteroposterior plane. Many factors have been claimed for its etiology and, many alternatives have been proposed for treatment. Eleven patients with an average age of 21 were treated between 1993 and2001 and included in this study. Ali the patients had bilateral camptodactyly İn the fifth finger. After releasing the skin contracture by "Z" plasty, dynamic splint was applied for both fingers in extension for approximately 6 months. The mean foİlow-up time was 20 mounths and there were no recurrences in any patient. Our method of treatment has no surprises like extensive surgical treat¬ment and has acceptable resuits in selected cases.
Abstract (Original Language): 
Kamptodaktili, proksimal interfalangial (PIP) eklemin antero -posterior düzlemdeki konjenitai fleksiyon deformite-sidir. Etyolojide bir çok sebep ileri sürülürken, tedavi için de bir o kadar farklı alternatif ortaya konmuştur. Kliniğimize 1993 -2001 yılları arasında başvuran ve yaş ortalaması 21 olan 11 hasta çalışmaya dahil edildi. Hasiaların tamamında her iki el 5. parmakta kamptodaktili mevcut idi. Cilt kontraktürünü rahatlamak amacıyla "Z" piasti yapıldıktan sonra dinamik splint ile her iki parmak yaklaşık 6 ay süreyle ekstansiyona alındı. Ortalama takip süresi 20 ay idi ve bu süre içinde hastaların hiç birinde rekürrens görülmedi. Böyle bir tedavinin uygun olgularda ağır cerrahimüdahalelerdeki sürprizlere kapalı ve oldukça kabul edilebilir sonuçları olan bir yaklaşım olduğu kanaatindeyiz
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REFERENCES

References: 

1. Oldfieid MD. Camptodactyly: flexorcontracture of the fingers in young girls. Br J Plast Surg 1956:8:312-7.
2. Wood VE. Camptodactyly. İn Green DP editör. Operative Hand Surgery. New York Churchill Livingstone 1993;{1)11;p411-7.
3. Mc Cash CR. Congenital contractures of the hand. İn: Sîack HG, Bolton K eds. The second hand club. British Society for Surgery of the Hand.1975:399-401.
4. Smith RJ, Kaplan EB. Camptodactyly and similar atrau-matic fİexİon deformîties of the proximal interpha-langeal joints of the fingers: a study of thirty - one cases. J Bone Joint Surg. 1968:50A:1187-1203.
5. Horİ M, Nakamura R, Inoue G. et al. Nonperative treat-ment of camptodactyly. J Hand Surgl 987:12(A)6:1061 -65.

7. Smith PJ. Grobbelar AO. Camptodactyly: A unifying theory and approach to surgical treatment. J Hand Surg. 1998;23A:14-9.
8. Siegert JJ, Cooney WP, Dobyns JH. Management of simple camptodactyly. J Hand Surg [Br] 1990 15(2):181-9.
9. Stratton RF, Young RS. Heiman HS, Carter JM. Fryns syndrome. Am J Med Genet 1993 1 ;45(5)562-4.
10. Guion - Almeİda ML. Zechi - Ceİde RM, Richieri - Costa A. Multipie congenital anomalies syndrome: growth and mental retardation. microcephaly, preauricuiar skin tags. cleft plate, camptodactyly, and distal limb anom¬alies. Report on two unrefated Brazilian patients. Am J Med Genet 1999 5;87(1):72-7

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