Thumb Duplication Surgical Treatment: Outcomes and Results
Aim This study aims to evaluate functional and esthetic outcomes of thumb duplication correction in pediatric age. Methods Retrospective study including all pediatric patients with thumb duplication undergoing surgical treatment between 2012 and 2017. We analyzed demographic data, surgical technique...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-01-01
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| Series: | Global Pediatric Health |
| Online Access: | https://doi.org/10.1177/2333794X221149828 |
| _version_ | 1797946216093319168 |
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| author | Maria Pia Monjardino MD, MSc Marcos Carvalho MD, MSc, FEBOT Pedro Sá Cardoso MD, MSc Tah Pu Ling MD, MSc Cristina Alves MD, MSc, FEBOT |
| author_facet | Maria Pia Monjardino MD, MSc Marcos Carvalho MD, MSc, FEBOT Pedro Sá Cardoso MD, MSc Tah Pu Ling MD, MSc Cristina Alves MD, MSc, FEBOT |
| author_sort | Maria Pia Monjardino MD, MSc |
| collection | DOAJ |
| description | Aim This study aims to evaluate functional and esthetic outcomes of thumb duplication correction in pediatric age. Methods Retrospective study including all pediatric patients with thumb duplication undergoing surgical treatment between 2012 and 2017. We analyzed demographic data, surgical technique, and surgical outcomes considering Tada, Horii, and Tien scores, according to the following parameters: active mobility of the metacarpophalangeal and interphalangeal joints, stability, alignment, and family’s opinion about cosmetic and function of the thumb. The Wassel-Flatt classification was used to classify the duplicated thumbs. Results A total of 11 patients were included, predominantly male (ratio 1.8:1), with a median age at time of surgery of 19[10-26] months and a median follow-up time after surgery of 23 [3-63] months. The Wassel- Flatt type IV thumb was the most frequent (73%). The postoperative evaluation revealed that 82% of patients had good results in Tada score, 73% had good results in Horii score, and all patients showed good results in Tien score. We found a relation between lower age and fair postoperative alignment ( P = .047) and between fair postoperative alignment and fair final Tada ( P = .022), Horii ( P = .006), and Tien ( P = .009) scores. Conclusions Excision and reconstruction procedures are good options in the treatment of thumb duplication providing good clinical results, with excellent parent satisfaction. Timing of surgery is important for favorable esthetic outcomes, while angular deformity is a determining factor that for postoperative dissatisfaction. |
| first_indexed | 2024-04-10T21:08:31Z |
| format | Article |
| id | doaj.art-30253d500ad94c648d9c724f6b29c294 |
| institution | Directory Open Access Journal |
| issn | 2333-794X |
| language | English |
| last_indexed | 2024-04-10T21:08:31Z |
| publishDate | 2023-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Global Pediatric Health |
| spelling | doaj.art-30253d500ad94c648d9c724f6b29c2942023-01-21T14:05:39ZengSAGE PublishingGlobal Pediatric Health2333-794X2023-01-011010.1177/2333794X221149828Thumb Duplication Surgical Treatment: Outcomes and ResultsMaria Pia Monjardino MD, MSc0Marcos Carvalho MD, MSc, FEBOTPedro Sá Cardoso MD, MSc1Tah Pu Ling MD, MSc2Cristina Alves MD, MSc, FEBOT3Department of Pediatric Orthopaedics, Hospital Pediátrico de Coimbra – CHUC, EPE, Coimbra, PortugalDepartment of Pediatric Orthopaedics, Hospital Pediátrico de Coimbra – CHUC, EPE, Coimbra, PortugalDepartment of Pediatric Orthopaedics, Hospital Pediátrico de Coimbra – CHUC, EPE, Coimbra, PortugalDepartment of Pediatric Orthopaedics, Hospital Pediátrico de Coimbra – CHUC, EPE, Coimbra, PortugalAim This study aims to evaluate functional and esthetic outcomes of thumb duplication correction in pediatric age. Methods Retrospective study including all pediatric patients with thumb duplication undergoing surgical treatment between 2012 and 2017. We analyzed demographic data, surgical technique, and surgical outcomes considering Tada, Horii, and Tien scores, according to the following parameters: active mobility of the metacarpophalangeal and interphalangeal joints, stability, alignment, and family’s opinion about cosmetic and function of the thumb. The Wassel-Flatt classification was used to classify the duplicated thumbs. Results A total of 11 patients were included, predominantly male (ratio 1.8:1), with a median age at time of surgery of 19[10-26] months and a median follow-up time after surgery of 23 [3-63] months. The Wassel- Flatt type IV thumb was the most frequent (73%). The postoperative evaluation revealed that 82% of patients had good results in Tada score, 73% had good results in Horii score, and all patients showed good results in Tien score. We found a relation between lower age and fair postoperative alignment ( P = .047) and between fair postoperative alignment and fair final Tada ( P = .022), Horii ( P = .006), and Tien ( P = .009) scores. Conclusions Excision and reconstruction procedures are good options in the treatment of thumb duplication providing good clinical results, with excellent parent satisfaction. Timing of surgery is important for favorable esthetic outcomes, while angular deformity is a determining factor that for postoperative dissatisfaction.https://doi.org/10.1177/2333794X221149828 |
| spellingShingle | Maria Pia Monjardino MD, MSc Marcos Carvalho MD, MSc, FEBOT Pedro Sá Cardoso MD, MSc Tah Pu Ling MD, MSc Cristina Alves MD, MSc, FEBOT Thumb Duplication Surgical Treatment: Outcomes and Results Global Pediatric Health |
| title | Thumb Duplication Surgical Treatment: Outcomes and Results |
| title_full | Thumb Duplication Surgical Treatment: Outcomes and Results |
| title_fullStr | Thumb Duplication Surgical Treatment: Outcomes and Results |
| title_full_unstemmed | Thumb Duplication Surgical Treatment: Outcomes and Results |
| title_short | Thumb Duplication Surgical Treatment: Outcomes and Results |
| title_sort | thumb duplication surgical treatment outcomes and results |
| url | https://doi.org/10.1177/2333794X221149828 |
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