An experience of the Snow-Littler procedure. J Hand Surg Br 2000 Aug;25(4):376-81
Date
11/01/2000Pubmed ID
11058008DOI
10.1054/jhsb.2000.0447Scopus ID
2-s2.0-0033806457 (requires institutional sign-in at Scopus site) 27 CitationsAbstract
This paper reviews the results of the Snow-Littler procedure performed in twelve hands with classical central longitudinal deficiency and in one hand with symbrachydactyly, cleft type. There were no instances of major flap necrosis although two flaps showed tip ischaemia. The width of the first web was, in the main, satisfactory but four webspace revisions were performed. Supplementary skin grafting at the time of surgery was necessary in complete and/or complex thumb index syndactylies and in the patient with symbrachydactyly. In eight cases, a transverse metacarpal ligament was reconstructed. In the five other cases, no clinical instability or radiological divergence of the index and ring fingers occurred, in spite of no transverse metacarpal ligament reconstruction. Three de-rotational osteotomies of transposed index fingers were performed in patients who had a transverse metacarpal ligament reconstruction. These results indicated significantly improved appearance and improved function following the Snow-Littler procedure.
Author List
Rider MA, Grindel SI, Tonkin MA, Wood VEAuthor
Steven I. Grindel MD Professor in the Orthopaedic Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
ChildFollow-Up Studies
Hand Deformities, Congenital
Humans
Infant
Ligaments
Orthopedic Procedures
Surgical Flaps
Time Factors