AI Article Synopsis

  • The study discusses the correction of radially deviated Wassel type III thumb polydactyly, focusing on 34 cases treated through various surgical techniques.
  • The approach included opening-wedge osteotomies combined with bone grafting in 28 cases, and soft tissue reconstruction in 6, using absorbable sutures instead of traditional K-wires for stabilization.
  • Follow-up over 12-78 months showed that 25 patients had good results, with the researchers emphasizing the need for ongoing studies to improve long-term outcomes and refine the technique.

Article Abstract

We report our experience with correction of radially deviated Wassel type III thumb polydactyly. After comprehensive assessments from preoperative radiographs, physical examinations and intraoperative reports, we corrected the metacarpophalangeal joint in 34 cases of radially deviated Wassel type III thumb polydactyly. Opening-wedge osteotomies combining bone graft and soft tissue reconstruction were used in 28 cases and soft tissue reconstruction only in six cases. Absorbable sutures were used instead of traditional Kirschner (K)-wires to fix the bone grafts. Patients were followed up for 12-78 months (mean 47 months). According to the Tada scoring system, 25 patients achieved good results, seven fair results and two poor results. Our modified technique for correcting radially deviated Wassel type III thumb polydactyly yielded satisfactory results. Continued follow-up and further studies will contribute to a better understanding of the long-term efficacy and potential refinements of this technique. IV.

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http://dx.doi.org/10.1177/17531934241275462DOI Listing

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