Article
On-Top-Plasty combined Modified Bilhaut-Cloquet Procedure for Complicated Radial Polydactyly
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Published: | February 6, 2020 |
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Objectives/Interrogation: Some radial polydactyly are difficult to classify into Wassel classification. Some features are important in decision of management but are not considered in the Wassel classification. We report our management of complicated Wassel VI or VII Radial Polydactyly with significant hypoplastic metacarpal and both of digits were hypoplastic. Usually the radial digit was functional, while the ulnar digit was motionless. We reviewed the results of our procedures of On-Top-Plasty combined Modified Bilhaut-Cloquet Procedure for the treatment complicated radial of polydactyly of the thumb.
Methods: We reviewed five patients with six radial polydactyly, who underwent this On-Top-Plasty combined Modified Bilhaut-Cloquet Procedure from 2015-2017. The average follow up was eight months. The range of motion and the size of the thumb were measured. Parent's satisfaction was measure by a visual analog scale of 0-10.
Results and Conclusions: All parents were satisfied with the cosmetic and functional results. Compared with the preoperative thumb size and appearance and motion, the average girth of the reconstructed thumb relative to the contralateral thumb was 105%. The width of the thumb nail was similar to the contralateral thumb and was significantly increased as compared to pre-operation.
Our On-Top-Plasty combined Modified Bilhaut-Cloquet Procedure for treatment Complicated Radial Polydactyly is effective in preserving metacarpophalangeal joint motion, minimizing nail deformity.