Surgical treatment of the hand deformities for acrocephalosyndactyly

Шведовченко И.В., Бардась А.А., Шихалева Н.Г.

Abstract


Purpose. To analyze the technologies of surgical treatment of the hand pathology in children with acrocephalosyndactyly aimed at grasping function recovery, as well as at the upper limb habitus improvement.
Materials and Methods. The results of surgical treatment were analyzed in 19 children with acrocephalosyndactyly who underwent 62 surgeries within the age from 6 months to 18 years. A working classification of the first ray deformities was proposed, as well as the ways of surgical correction for each variant in order to systematize the surgical interventions performed to eliminate syndactyly of 1-2 fingers. The International Classification of Functioning (ICF) and DASH Questionnaire were used to assess the hand function before and after surgery.
Results. According to the evaluation of the results of surgical treatment, positive outcomes were achieved in 15 (88 %) patients, only mild (47 %) and moderate (41 %) dysfunctions of the hand preserved.
Conclusion. Surgical treatment allows to improve the cosmetic condition significantly, and to recover the hand functional potential in relation to the main types of grasping thereby facilitating child’s social adaptation greatly.

Keywords


Apert syndrome, Pfeiffer syndrome, Carpenter syndrome, first ray, deformity, classification, dermatoplasty, split graft, radial flap, vascular pedicle, the Ilizarov fixator, rating scales

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