Pediatric Traumatology, Orthopaedics and Reconstructive SurgeryPediatric Traumatology, Orthopaedics and Reconstructive Surgery2309-39942410-8731Eco-Vector31010.17816/PTORS3157-60Central polydactyly: an alternative method of treatmentGovorovAnton VladimirovichMD, 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 Federationagovorov@yandex.ruGolyanaSergei IvanovichMD, 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 Federationser.golyana@yandex.ruZavarukhinVladimir IvanovichMD, 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 Federationzavarukhin.md@gmail.comSafonovAndrey ValerievichMD, 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 Federationsafo125@gmail.comThe Turner Institute for Children’s Orthopedics, Saint-Petersburg1503201531576006052015Copyright © 2015, Govorov A.V., Golyana S.I., Zavarukhin V.I., Safonov A.V.2015Polydactyly 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.polydactylysynpolydactylycentral polydactylyhand ray doublingmicrosurgeryполидактилиясинполидактилияцентральная полидактилияудвоение луча кистимикрохирургия[Ржанникова Ю.Г. Хирургическое лечение сложных форм врожденной синдактилии кисти у детей. Дисс.. канд. мед. наук. СПб., 2002.][Graham T.J., Ress A.M. Finger polydactyly. //HandClin. 1998;14(1): 49-64.][Iaccarino M., Profeta L., Tarallo M.R., Tarallo D., Vollono C., Tarallo S. Axial polydactyly: a clinical case. // PediatrMedChir. 1993;15(3):323-325.][Ogino T. Clinical features and teratogenic mechanisms of congenital absence of digits. // DevGrowthDiffer. 2007;49(6):523-531.][Stelling F. Theupperextremity. In Ferguson AB. editor: Orthopaedic Surgery in Infancy and Childhood. Baltimore. 1963. The Williams & Wilkins Co.][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.][Turek S.L. Orthopaedic Principles and their Application. Philadelphia. 1967. J. B. Lippincott Co.][Wood V.E. Treatment of central polydactyly. // Clin Orthop Relat Res.1971;74: 196-205.][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.]