Experience with Management of Radial Polydactyly: The Multicenter Analysis of 28 Surgical Procedures with Follow-Up
Radial polydactyly or thumb duplication is a relatively common congenital malformation of the hand, whereby the surgical techniques can be broadly divided into simple excisions, reconstructions and a Bilhaut-Cloquet procedure. The aim of this study was to identify the appropriate surgical procedures...
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| Format: | Article |
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MDPI AG
2023-11-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/23/3045 |
| _version_ | 1797400124641509376 |
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| author | David Breidung Ioannis-Fivos Megas Yvonne Dittrich Bert Reichert Ulrich Nöth Götz Habild |
| author_facet | David Breidung Ioannis-Fivos Megas Yvonne Dittrich Bert Reichert Ulrich Nöth Götz Habild |
| author_sort | David Breidung |
| collection | DOAJ |
| description | Radial polydactyly or thumb duplication is a relatively common congenital malformation of the hand, whereby the surgical techniques can be broadly divided into simple excisions, reconstructions and a Bilhaut-Cloquet procedure. The aim of this study was to identify the appropriate surgical procedures and to present the clinical outcomes that can be achieved. We performed a multicenter analysis of cases of radial polydactyly surgically treated with reconstruction or a Bilhaut-Cloquet procedure between 2015 and 2022. The clinical outcome was assessed using a modification of the Tada score. A total of 28 cases of 27 patients with radial polydactyly were included in the study. The most common Wassel type was type IV (13 cases), and the most common surgical procedure was reconstruction (24 cases). Our study validates an algorithm from the literature as a helpful tool for decision making in selecting a surgical technique for radial polydactyly, although individual surgical experience should also be considered. |
| first_indexed | 2024-03-09T01:50:59Z |
| format | Article |
| id | doaj.art-908a5f28562a45caa0d4ebac64c70338 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-09T01:50:59Z |
| publishDate | 2023-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-908a5f28562a45caa0d4ebac64c703382023-12-08T15:16:03ZengMDPI AGHealthcare2227-90322023-11-011123304510.3390/healthcare11233045Experience with Management of Radial Polydactyly: The Multicenter Analysis of 28 Surgical Procedures with Follow-UpDavid Breidung0Ioannis-Fivos Megas1Yvonne Dittrich2Bert Reichert3Ulrich Nöth4Götz Habild5Department of Plastic, Reconstructive and Hand Surgery, Center for Severe Burn Injuries, Paracelsus Medical University, Klinikum Nürnberg, 90471 Nuremberg, GermanyCenter of Plastic Surgery, Hand Surgery and Microsurgery, Department of Orthopaedic and Trauma Surgery, Evangelisches Waldkrankenhaus Spandau, 13589 Berlin, GermanyCenter of Plastic Surgery, Hand Surgery and Microsurgery, Department of Orthopaedic and Trauma Surgery, Evangelisches Waldkrankenhaus Spandau, 13589 Berlin, GermanyDepartment of Plastic, Reconstructive and Hand Surgery, Center for Severe Burn Injuries, Paracelsus Medical University, Klinikum Nürnberg, 90471 Nuremberg, GermanyDepartment of Orthopaedic and Trauma Surgery, Evangelisches Waldkrankenhaus Spandau, 13589 Berlin, GermanyCenter of Plastic Surgery, Hand Surgery and Microsurgery, Department of Orthopaedic and Trauma Surgery, Evangelisches Waldkrankenhaus Spandau, 13589 Berlin, GermanyRadial polydactyly or thumb duplication is a relatively common congenital malformation of the hand, whereby the surgical techniques can be broadly divided into simple excisions, reconstructions and a Bilhaut-Cloquet procedure. The aim of this study was to identify the appropriate surgical procedures and to present the clinical outcomes that can be achieved. We performed a multicenter analysis of cases of radial polydactyly surgically treated with reconstruction or a Bilhaut-Cloquet procedure between 2015 and 2022. The clinical outcome was assessed using a modification of the Tada score. A total of 28 cases of 27 patients with radial polydactyly were included in the study. The most common Wassel type was type IV (13 cases), and the most common surgical procedure was reconstruction (24 cases). Our study validates an algorithm from the literature as a helpful tool for decision making in selecting a surgical technique for radial polydactyly, although individual surgical experience should also be considered.https://www.mdpi.com/2227-9032/11/23/3045thumb duplicationradial polydactylycongenital abnormalitiesreconstructive surgical procedures |
| spellingShingle | David Breidung Ioannis-Fivos Megas Yvonne Dittrich Bert Reichert Ulrich Nöth Götz Habild Experience with Management of Radial Polydactyly: The Multicenter Analysis of 28 Surgical Procedures with Follow-Up Healthcare thumb duplication radial polydactyly congenital abnormalities reconstructive surgical procedures |
| title | Experience with Management of Radial Polydactyly: The Multicenter Analysis of 28 Surgical Procedures with Follow-Up |
| title_full | Experience with Management of Radial Polydactyly: The Multicenter Analysis of 28 Surgical Procedures with Follow-Up |
| title_fullStr | Experience with Management of Radial Polydactyly: The Multicenter Analysis of 28 Surgical Procedures with Follow-Up |
| title_full_unstemmed | Experience with Management of Radial Polydactyly: The Multicenter Analysis of 28 Surgical Procedures with Follow-Up |
| title_short | Experience with Management of Radial Polydactyly: The Multicenter Analysis of 28 Surgical Procedures with Follow-Up |
| title_sort | experience with management of radial polydactyly the multicenter analysis of 28 surgical procedures with follow up |
| topic | thumb duplication radial polydactyly congenital abnormalities reconstructive surgical procedures |
| url | https://www.mdpi.com/2227-9032/11/23/3045 |
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