Functional and aesthetic results of syndactyly surgical release in a child’s hand
DOI:
https://doi.org/10.1016/j.rccot.2017.07.007Keywords:
syndactyly, hand, aesthetic recovery, functionalityAbstract
Background: Syndactyly is one ofthe inherited malformations that most often involve the hands. It is a frequent cause of surgical intervention, with few literature reports as regards follow-up and outcomes. The objective of the study is to evaluate the functional and aesthetic results after the surgical management of syndactyly release from the hands of children diagnosed with congenital syndactyly.
Materials and methods: A series of cases was conducted that included patients under the age of 15 who attended an orthopaedic clinic with a diagnosis of congenital syndactyly. All patients were subjected to surgery to release the congenital defect. All patients underwent post-operative follow-up for at least 3 months.
Results: The study included 15 patients aged 0-15 years, 73.3% of whom were male. The 53.3% of the patients with good functional results, were operated on using the reconstructive technique of the dorsal-palmar rectangular flap, with 45.4% requiring a skin graft. Twenty percent of the patients had both good postoperative functional and aesthetic results, with no complications and with no re-interventions in the 3 months postoperative follow-up.
Discussion: Almost three-quarters (73.3%) of the patients showed good aesthetic results, and 60% had good functionality,when evaluating the mobility arches. Early intervention was related to a decrease in the number of complications and a lower number of re-interventions.
Level of evidence: IV.
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