Central polydactyly: an alternative method of treatment

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Abstract

Polydactyly is a rare congenital malformationcharacterized by an increase in the number of segments of hand ray. Central polydactyly is much rarerthan other types of polydactyly and is characterizedby a doubling of the segments of the second, thirdand fourth fingers. The main methods of surgicaltreatment of central polydactyly consist in the resection of additional segments and removal of the existing union. Often, the result of this treatment is the development of secondary deformities, leading to unsatisfactory results. The article describes the clinical example of microsurgical reconstruction of the patient’s hand with central polydactyly of both hands and presentation of long-term outcome.

About the authors

Anton Vladimirovich Govorov

The Turner Institute for Children’s Orthopedics, Saint-Petersburg

Email: agovorov@yandex.ru
MD, PhD, research associate of the department of reconstructive microsurgery and hand surgery. FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of the Russian Federation

Sergei Ivanovich Golyana

The Turner Institute for Children’s Orthopedics, Saint-Petersburg

Email: ser.golyana@yandex.ru
MD, PhD, head of the department of reconstructive microsurgery and hand surgery. FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of the Russian Federation

Vladimir Ivanovich Zavarukhin

The Turner Institute for Children’s Orthopedics, Saint-Petersburg

Email: zavarukhin.md@gmail.com
MD, research associate of the department of reconstructive microsurgery and hand surgery. FSBI “Scientific and Research Institute for Chil- dren’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

Andrey Valerievich Safonov

The Turner Institute for Children’s Orthopedics, Saint-Petersburg

Email: safo125@gmail.com
MD, PhD, chief of the department of reconstructive microsurgery and hand surgery. FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

References

  1. Ржанникова Ю.Г. Хирургическое лечение сложных форм врожденной синдактилии кисти у детей. Дисс.. канд. мед. наук. СПб., 2002.
  2. Graham T.J., Ress A.M. Finger polydactyly. //HandClin. 1998;14(1): 49-64.
  3. Iaccarino M., Profeta L., Tarallo M.R., Tarallo D., Vollono C., Tarallo S. Axial polydactyly: a clinical case. // PediatrMedChir. 1993;15(3):323-325.
  4. Ogino T. Clinical features and teratogenic mechanisms of congenital absence of digits. // DevGrowthDiffer. 2007;49(6):523-531.
  5. Stelling F. Theupperextremity. In Ferguson AB. editor: Orthopaedic Surgery in Infancy and Childhood. Baltimore. 1963. The Williams & Wilkins Co.
  6. Tada K., Kurisaki E., Yonenobu K., Tsuyuguchi Y., Kawai H. Central polydactylya reviewof 12 cases and their surgical treatment. // J Hand Surg Am. 1982;7(5):460-465.
  7. Turek S.L. Orthopaedic Principles and their Application. Philadelphia. 1967. J. B. Lippincott Co.
  8. Wood V.E. Treatment of central polydactyly. // Clin Orthop Relat Res.1971;74: 196-205.
  9. Zhou J., Chen Y., Cao K., Zou Y., Zhou H., Hu Fetal. Functional classif ication and mutation analysis ofa synpolydact yly k indred. // ExpTherMed. 2014;8(5):1569-1574.

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Copyright (c) 2015 Govorov A.V., Golyana S.I., Zavarukhin V.I., Safonov A.V.

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