Rectangular flaps technique for treatment of congenital hand syndactyly

Tuma, Paulo; Arrunátegui, Gino; Wada, Alexandre; Friedhofer, Henri; Ferreira, Marcus Castro

doi:10.1590/s0041-87811999000400001

Cited by 7 publications

(6 citation statements)

References 3 publications

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“…Analyzing surgical results from children is always challenging. 3 , 4 , 5 Among the classification systems for functional evaluations of the hands that exist, none of them is easily applicable to children, given the complexity of such cases and the need for collaboration from the patients, 7 along with the possible neuropsychomotor developmental delays and syndromes that may also be influenced. It is therefore of interest to obtain additional evaluation of the surgical results by the children's own parents.…”

Section: Discussionmentioning

confidence: 99%

“…They are worse when bone structural alterations are present. 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 …”

Section: Introductionmentioning

confidence: 99%

“…Evaluations on the results from surgical treatment of syndactyly of the hand are usually done based on the clinical findings. 7 Nevertheless, images obtained through computed tomography may aid in making the evaluation more systematic. 18 …”

Section: Introductionmentioning

confidence: 99%

“…We only found two case series in the Brazilian literature, which used different techniques and presented limited numbers of patients. 7 , 8 In this regard, reporting on the results from a larger series with different types of syndactyly and different possibilities for surgical techniques is justified. In addition, the results reported in the present study are from patients who were operated under the collective effort system in “humanitarian missions” at the “SOS Hand” hospital in Recife, in partnership between hand surgeons of this institution and hand surgeons from France, with sponsorship from La Châine de L’Espoir (“chain of hope”).…”

Section: Introductionmentioning

confidence: 99%

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Surgical results from treating children with syndactyly through the collective effort system at “SOS Hand Recife” between 2005 and 2009

Cortez

Júnior²,

Silva³

et al. 2014

Revista Brasileira de Ortopedia (English Edition)

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Objectiveto evaluate the results from and parents’ satisfaction with treatment for children with syndactyly who were operated at the “SOS Hand Recife” hospital between 2005 and 2009.Methodsdata for assessing the results were gathered from the patients’ medical files. The subjective scores, which were ascertained prospectively, were as follows: greater than or equal to 9, good result; between 6 and 8, fair result; less than 6, poor result. The results were analyzed statistically. This study was approved by the institution's ethics committee.Resultsamong the 35 cases, 21 (60%) consisted of simple syndactyly and 14 (40%) were complex; 22 (62.8%) were boys and 13 (37.1%) were girls. The complex cases were predominantly among males. The main complications were infection (11.4%), bleeding (11.4%) and pain (8.6%). There were more complications in the complex cases (42.8%) than in the simple cases (33.3%). The mean scores from the parents’ subjective evaluations were as follows: 7.6 for esthetics (7.7 in simple cases and 7.3 in complex cases; 8.2 for function (8.6 in simple cases and 7.6 in complex cases); 8.3 for the parents’ general satisfaction level (8.6 in simple cases and 8.0 in complex cases); and 85.7% of the parents would recommend the surgery to others while 14.5% would not. A strong association was observed between the specialist's objective assessment and the scores given by the parents (p < 0.05).Conclusionthe surgical results from treating syndactyly presented differences between the simple and complex types, even though the parents’ esthetic evaluations and satisfaction were similar.

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Section: Discussionmentioning

confidence: 99%

“…They are worse when bone structural alterations are present. 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Surgical results from treating children with syndactyly through the collective effort system at “SOS Hand Recife” between 2005 and 2009

Cortez

Júnior²,

Silva³

et al. 2014

Revista Brasileira de Ortopedia (English Edition)

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“…Although congenital malformations of the hand do not contribute towards child mortality, they may have an important effect on the functional capacity, psychological state and quality of life of young individuals. Few studies in Brazil have focused on the frequency and management of such malformations 7 , 8 , 9 , 10 . In addition, few Brazilian papers, particularly from surgeons specializing in hand surgery, have been published in the international literature 11 , 12 , 13 .…”

Section: Introductionmentioning

confidence: 99%

Nosology of Hand Diseases in Children and Adolescents Operated in Provisional Facilities in a Model Hospital - Pernambuco State, Brazil

Cortez

Silva²,

Gilbert

et al. 2010

Revista Brasileira de Ortopedia (English Edition)

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To report the frequencies of congenital hand diseases in patients who underwent surgery on a collective mobilization basis at SOS Hand, Recife, Pernambuco, between 2005 and 2009. Methods: Information was collected from 833 children and adolescents who were examined in eight missions. Results: Among the patients, 306 (36.7%) underwent surgery: 240 (78.4%) because of congenital malformation and 66 (21.6%) because of acquired lesions. The most frequent congenital malformations were: syndactyly, 72 cases (30.0%); polydactyly, 30 cases (12.5%); bifid thumb, 19 cases (7.9%); complex hand malformation, 14 cases (5.8%); cleft hand, 13 cases (5.4%); trigger finger, 12 cases (5.0%); camptodactyly, 11 cases (4.6%); and brachysyndactyly, 9 cases (3.7%). The most frequently acquired injuries were: obstetric traumatic lesions, 26 cases (39.4%); hand trauma sequelae, 18 cases (27.3%); cerebral paralysis sequelae, 7 cases (10.6%); electric shock sequelae, 5 cases (7.6%); and burn sequelae, 4 cases (6.1%). Conclusion: The nosology of hand diseases is similar to that of large series of elective surgery, especially regarding congenital deformities. The frequency of acquired hand lesions seems to be higher than the frequency in international series. The collective mobilization system for hand surgery is important for decreasing the need for this activity in public institutions, and it has been shown to be very efficient. The success of the project may provide support for the Brazilian National Health System to enroll hand surgeons in the on-call system, in emergency units.

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Interdigitating Rectangular Flaps and Dorsal Pentagonal Island Flap for Syndactyly Release

Yoon

2019

The Journal of Hand Surgery

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Rectangular flaps technique for treatment of congenital hand syndactyly

Cited by 7 publications

References 3 publications

Surgical results from treating children with syndactyly through the collective effort system at “SOS Hand Recife” between 2005 and 2009

Surgical results from treating children with syndactyly through the collective effort system at “SOS Hand Recife” between 2005 and 2009

Nosology of Hand Diseases in Children and Adolescents Operated in Provisional Facilities in a Model Hospital - Pernambuco State, Brazil

Interdigitating Rectangular Flaps and Dorsal Pentagonal Island Flap for Syndactyly Release

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