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A-0471 Reconstructive Surgery for the Type V and VI of Duplicated Thumbs
Soojin Woo 1, Byungjun Kim 1, Hyeonwoo Kim 1, Sung Tack Kwon 1, Sang-Hyun Woo 2, 1 Seoul National University Hospital, Seoul, South Korea; 2 W Hospital, Daegu, South Korea
Friday, June 15, 2018 · 2:57 p.m. · 05m 27s
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00:00:01
eight q. today i will be talking about reconstructive
00:00:06
surgery for thai five and six duplicated times
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oh in type five and six radio play exactly the radio time is
00:00:14
scripted and small on to stall and with strong proximal bone
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well mark component has good nail but we tendons in small men and then carpal
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this is assumed to be try five or six point directly to their section
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of extra digit resulted in serious secondary t. for me like this
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that is why we need creative design for construction of new thumb
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in better carpal radio played actively try five and six
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in this retrospective study of forty two patients with high five and fifteen
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patients with type six for exactly where studied the average of
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patient of conduct operation conducted was eleven months old range of motion
00:00:58
of n. c. p. n. i. p. joint was measure
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since subjects were too young to cooperate in tested just engine quit
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or trash score subjective satisfaction score of koreans was pleasure
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impact life duplicated pam's mastectomy of the metal carpal and
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positioning of your muscles were performed in all cases
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the narrow first web space scruffy you was corrected using c.
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plus the along with the release of a doctor muscle
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you can see by fit better carpal pong
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let's take demi was done for a section of the extra digit
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shared thing i'm also was preserved for covering the bone
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c. plus t. was done
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post operative view
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am post operative greater graph on twenty eight months
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for fifteen patients with type six duplicated comes on
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top trustee was performed which combine times of
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radio and on our site to make one sound that could nail koreans enjoyable pun intended
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in some cases ten and transfer was performed three construct e. p.
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l. and f. p. attend in with web space reconstruction
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i'll show you three types of on top lusty done at different levels of finger
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the first one is bringing on eyesight speak nail on top of radio sites distal phalanx
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you can see that the radio site has better proximal portion of nearly normal better card
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problem while on mar component has better morphology of distal portion with normal near
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us yeah i mean is made up the test of innings of the both components
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the distal portion of the all night digit was transferred to proximal radio digit
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post operated radio graph on twenty six months
00:03:02
next one is bringing on our sides distal and proximal phalanx on top of read your thumb
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compared to the first case the proximal phalanx look stable and on our side
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asked yet i mean is made at the proximal phalanx
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the proximal and distal portion of the on air digit was transferred
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post operated radio graph on thirty two months
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last one is bringing on our sites that are carpal down on top of radio them
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unusually for type six failings above n. c. p. joint look stable and online now
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o. c. r. m. is made at metal core problem construction of e. p. l. tendon was done
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post operative for real
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post operated radio graph after fifteen months
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yellow and in the n. c. p. joint was eighty degrees and i featuring fifty five degrees impact five
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and forty five and twenty and type six subjective
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satisfaction score was seventy five out a hundred
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points secondary corrective surgery was done in three patients to correct soft issue a positioning
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it is technically challenging to correct try five and six duplicated times which involve them add a card problem
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the purpose of surgery is not just removing when then um but making no
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functionally and aesthetically acceptable one by combining better components between two thumbs
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because these times involvement of carpal one reinforcement up the position and
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positioning with tina muscle and securing sufficient first where space important
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clinical experience it and creative surgical plans are required
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to obtain good post operative results thank you
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yeah
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thank you for is so real i order any questions from your kids
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