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Upper extremity function in children with congenital hand anomalies
1Department of Rehabilitation Services, Division of Occupational Therapy, The Hospital for Sick Children, Torornto, Canada. emily.ho@sickkids.ca
Summary
Pollicization and centralization surgeries aim to improve function in children with congenital hand anomalies. Further research is needed to improve study quality and validate surgical outcomes.
Area of Science:
- Pediatric Surgery
- Hand Surgery
- Congenital Anomalies
Background:
- Functional enhancement is a primary goal in managing pediatric congenital hand anomalies.
- Pollicization and centralization are surgical procedures used to address these conditions.
Purpose of the Study:
- To systematically review existing literature on the functional outcomes of pollicization and centralization surgeries in children.
- To assess the quality of evidence supporting these surgical interventions.
Main Methods:
- A systematic literature search was conducted using MEDLINE, CINAHL, and secondary reference lists.
- Studies were included if they reported on the functional outcome of pollicization or centralization surgery in pediatric patients.
- Included studies were analyzed based on their level of evidence.
Main Results:
- Ten studies were reviewed, with one study at level 3 evidence and nine at level 4.
- The overall quality of evidence for functional outcomes in these surgical interventions is limited.
Conclusions:
- Rigorous research is essential to validate the effectiveness of surgical interventions for congenital hand anomalies.
- Improvements in research methodology, sampling, and functional outcome measurement are needed to enhance study quality in this field.