Polydactyly is the most common congenital deformity of the hand in China. What is the best treatment for polydactyly?
Surgery for polydactyly is not difficult, but not only is it more aesthetically pleasing, it is more important to rebuild the function of the hand. Therefore, the treatment should be based on the shape, position, structure and relationship with the normal fingers, combined with X-ray examination for a comprehensive consideration and decision on the surgical procedure.
Pediatric finger deformity is one of the common deformities in pediatric patients. They mainly include: polydactyly (toe), syndactyly (toe), and other rare ones such as trigger finger, finger agenesis, dysplasia, megalodactyly, and ring constriction. How to treat, when to treat, are parents concerned about its treatment principles are introduced as follows: multi-finger (toe) and finger (toe) pathogenic factors multi-finger, toe deformity is mostly unilateral, bilateral involvement accounted for only about 10%. The exact cause of compound bunion deformity is unknown, mostly epidemic, suggesting that the disease is related to environmental factors and has little to do with genetic factors. For example, in the early 4-8 weeks of pregnancy, the mother is affected by viral infection, drugs, radiation and other environmental factors during the differentiation of the embryonic limb buds, resulting in impaired finger differentiation and malformation.
In severe cases of polydactyly (toe) and syndactyly (toe), the appearance and function of the hands and feet are affected. In addition to the physiological effects, patients often have psychological shadows, which often affect the child’s psychological development, learning and social life, and even affect future employment, work and marriage.
Precautions before surgery: You should choose a professional orthopedic surgery; clearly diagnose functional trunk fingers and non-functional deformed fingers through various imaging and physical examinations before treatment.
Congenital polydactyly (toe) and syndactyly (toe) is very common clinically and one of the congenital disorders with the highest incidence in children, which has a greater impact on appearance and walking function. The exact cause of congenital polydactyly is unknown, but it is generally believed to be related to environmental factors and genetic factors. In severe cases, polydactyly affects the appearance and function of the hands and feet. In addition to the physiological effects, patients often have psychological shadows, often affecting the child’s psychological development, learning and social life, and even affect the future employment, work and marriage.
The most important treatment principle is early correction of the deformity, which is beneficial to the physical and mental development of the patient. The most important treatment principle is early correction of the deformity, which is beneficial to the physical and mental development of the patient. For example, in the case of polydactyly, the main points are to repair the lateral collateral ligament of the preserved finger joint, to transfer the tendon of the polydactyly to the preserved finger, to reconstruct the muscle balance of the preserved finger, and to trim the skin flap so that the thickness of the preserved finger is basically the same as that of the corresponding finger on the opposite side.
At present, due to the development of surgical techniques and the improvement of pediatric anesthesia, surgery is usually performed in infancy (after 3 months of age), which is more conducive to the development and reconstruction of the anatomical structure and function of the hand and upper extremity of the child, and the surgical results are satisfactory and relatively safe at this time.