Over 20-year follow-up of Miura reconstruction of cleft hand

John D Beck; Benjamin Chang; Neil F Jones

doi:10.1007/s11552-014-9627-9

Over 20-year follow-up of Miura reconstruction of cleft hand

Hand (N Y). 2015 Jun;10(2):319-22. doi: 10.1007/s11552-014-9627-9.

Authors

John D Beck¹, Benjamin Chang², Neil F Jones³

Affiliations

¹ Department of Orthopaedic Surgery, University of California Irvine, 101 The City Drive South, Orange, CA 92868 USA ; 12911 120th Ave NE, H-10, Kirkland, WA 98034 USA.
² Hospital of the University of Pennsylvania, 3400 Spruce Street, 10 Penn Tower, Philadelphia, PA 19104 USA.
³ Department of Orthopaedic Surgery, University of California Irvine, 101 The City Drive South, Orange, CA 92868 USA.

Abstract

Several techniques have been described for cleft hand closure and web space reconstruction in patients with central deficiency; however, long-term documentation of results is rare. We present a 23-year follow-up of a patient who underwent the Miura procedure for a Manske type IIb cleft hand exhibiting long-term aesthetic and functional success. In addition, early skin flap necrosis and late web space contracture, which have been seen after the Snow-Littler procedure, did not occur in this case.