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Surgical Considerations in the Management of Constriction Ring Syndrome.
J Hand Surg Asian Pac Vol
December 2024
Department of Plastic, Hand and Reconstructive Microsurgery, Ganga Medical Centre & Hospitals Pvt. Ltd., Coimbatore, Tamil Nadu, India.
Surgical management of constriction ring syndrome (CRS) is individualised due to the heterogenic presentation of the condition. CRS includes constriction rings, acrosyndactyly, nubbins and short digits. Involvement of more than one limb is common and children often need multiple surgeries.
View Article and Find Full Text PDFIdentification of a pathogenic variant and pre-implantation genetic testing for a Chinese family affected with split-hand/foot malformation.
Yi Chuan
September 2024
Department of Reproductive Medicine, Women and Children's Hospital, School of Medicine, Xiamen University, Xiamen Key Laboratory of Reproduction and Genetics, Xiamen 361003, China.
Split-hand/foot malformation is a serious congenital limb malformation characterized by syndactyly and underdevelopment of the phalanges and metatarsals. In this study, we reported a case of a fetus with hand-foot cleft deformity. Whole exome and Sanger sequencing were used to filter out candidate gene mutation sites and provide pre-implantation genetic testing(PGT) for family members.
View Article and Find Full Text PDFCampanacci Grade 2 or 3 Giant Cell Tumor of the Phalanges: En Bloc Resection and Matched Nonvascularized Toe Phalangeal Transfer.
J Hand Surg Am
September 2024
Paul Brand Centre for Hand Surgery, Christian Medical College, Vellore, India.
Article Synopsis
- The study aimed to evaluate the effectiveness of en bloc resection and matched nonvascularized toe phalangeal transfer for treating Campanacci grade 2 and 3 giant cell tumors of the phalanges.
- Seven patients underwent this procedure, with follow-up lasting between 18 to 230 months, assessing various hand and wrist functionality metrics.
- Results showed successful outcomes with no tumor recurrences and minimal complications, suggesting the technique leads to a functional, tumor-free digit.
Surgical Reconstruction of Type IV Hypoplasia of the Thumb (Floating Thumb) in Infants: A Retrospective Analysis of Functional Outcomes and Radiographic Alignment.
Med Sci Monit
June 2024
Department of Hand Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, China (mainland).
Article Synopsis
- Congenital hypoplasia of the thumb type IV, or floating thumb, features two small thumb bones connected by a thin skin bridge, requiring surgical treatment options that range from amputation to reconstruction.
- A study examined 11 infants (6 males and 5 females, aged 6 to 24 months) who underwent a specific surgical technique called modified vascularized polydactylous hallux flap for thumb reconstruction.
- Results showed successful surgery with improved thumb function, adequate blood supply and nerve connectivity, and no major complications, indicating that this surgical method is effective for treating this congenital condition in infants.
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