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25th Anniversary Presentation| Volume 25, ISSUE 6, P1007-1037, November 2000

Congenital anomalies: A 25-year overview

  • H.Relton McCarroll
    Affiliations
    Department of Clinical Orthopaedic Surgery, University of California, San Francisco; the Shriners Hospital for Children, Northern California, Sacramento; and the California Pacific Medical Center, San Francisco, CA
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      Abstract

      Expansion of the discipline of hand surgery and heightened interest in congenital problems have resulted in major advances in the treatment of congenital hand anomalies over the past 25 years. Increased experience with congenital anomalies of the hand has expanded the hand surgeon's knowledge of patterns and relationships between different anomalies resulting in new methods of classification and more logical approaches to treatment. The principles of treatment of the more common anomalies, such as syndactyly, established by prior generations of hand surgeons have been refined in details of technique. New technologies, such as distraction lengthening and free vascularized transfers, have allowed the surgeon to treat new problems and old problems in new ways. In spite of our successes, much remains to challenge hand surgeons in this new millennium, especially in the construction of joints and the expanding field of fetal surgery. (J Hand Surg 2000;25A:1007-1037. Copyright © 2000 by the American Society for Surgery of the Hand.)

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