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Postaxial type B polydactyly treated by excision in the neonatal nursery
1Orthopedic Surgery Unit, Schneider Children's Medical Center of Israel, Petah Tikva, Israel. katzzz@bezeqint.net
Journal of Pediatric Orthopedics
|May 17, 2011
Summary
Excision of supernumerary digits in infants with postaxial type B polydactyly is a safe and effective neonatal procedure. This simple surgical technique offers excellent clinical and cosmetic results, with minimal scarring and no complications.
Area of Science:
- Pediatric Surgery
- Congenital Hand Anomalies
Background:
- Postaxial type B polydactyly involves an extra digit on the little finger side, often attached by a stalk.
- Current treatment recommendations include neonatal ligation.
Purpose of the Study:
- To evaluate the outcomes of excising supernumerary digits under topical anesthesia in infants.
- To assess the safety and efficacy of this surgical approach.
Main Methods:
- Eleven infants with 15 supernumerary digits underwent excision.
- Digits were retracted and excised at the base of the skin triangle.
- Infants were discharged post-procedure and followed for 12 months.
Main Results:
- No immediate or delayed complications were observed.
- All hands exhibited an aesthetic appearance post-procedure.
- Complete excision was confirmed at follow-up with minimal scarring.
Conclusions:
- Excision of supernumerary digits is a safe and straightforward procedure for postaxial type B polydactyly in neonates.
- The technique yields favorable clinical and cosmetic outcomes.
