Surgical Excision of Postaxial Polydactyly Type B in the Office Setting.

J Pediatr Orthop

Department of Orthopaedic Surgery, WellStar Atlanta Medical Center, The Hand and Upper Extremity Center of Georgia, Atlanta, GA.

Published: April 2023

AI Article Synopsis

  • Simple postaxial polydactyly (type B) is a common congenital hand condition that is typically treated with suture or clip ligation.
  • A case series was conducted on 48 children, averaging 10.2 weeks old, where surgical excision was performed under local anesthesia in an office setting, involving 78 digits in total.
  • Follow-up revealed no complications, with all patients pain-free and functioning normally, leading parents to express high satisfaction with both the cosmetic results and overall experience of the procedure.

Article Abstract

Background: Simple postaxial polydactyly (type B) is a common congenital hand malformation often treated by suture or clip ligation.

Methods: We present a case series of patients with simple postaxial polydactyly treated by surgical excision using local anesthesia in an office setting.

Results: The procedure was performed on 78 digits in 48 children with a mean age of 10.2 weeks. There were no intraoperative or early postoperative complications. A follow-up by phone interview was performed at an average of 3.2 years postoperatively. All patients were reported to be pain-free and have normal function without a perceived range of motion deficits. All parents selected the highest level of satisfaction regarding cosmetic outcomes and overall experience with the procedure.

Conclusions: These results demonstrate that an office-based surgical excision is a safe, effective, and economical treatment option and has developed into our standard of care for this common condition.

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Source
http://dx.doi.org/10.1097/BPO.0000000000002346DOI Listing

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