Modified Bilhaut-Cloquet Procedure: Meticulous Nail Plasty,Bone Reconstruction And Radial Side Incision
Weiyang GAO, MD
Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
Object: To develop the Bilhaut-Cloquet procedure accroding to the complication, and take the review to analysis the results postoperation.
Methods: Develop a modified Bilhaut-Cloquet procedure in hypoplasia of the duplicated thumbs as follows: A new nail reconstruct technique include side incision and comprehensively consider the nail plate, nail lunula, nail fold reconstruction; A bone reconstruction of intact joint function. From Janurary 2010 to April 2014, 39 thumbs of 36 cases acquired more than one year follow-up, All cases were hypoplastic and had nail width less than 80% of that on the non-affected side or less than 130% of that on the index.
Results: According to the Tada scoring system, excellent in 30 thumbs, good in 8 thumbs, poor in 1 thumb. According to the Wang-Gao nail appearance scoring system, excellent in 32 thumbs, good in 7 thumbs.
Conclusions: The nail deformity is inevitable accroding to our technique, but the sore of nail appearance and the function is satisfying. The modified Bilhaut-Cloquet should be recommend as the first line therapy in hypoplasia of duplicated thumbs.
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