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The Apert hand--angiographic planning of a single-stage, 5-digit release for all classes of deformity
Isaac Harvey1, Scott Brown, Oliver Ayres
1Department of Medical Imaging, Women's and Children's Hospital, North Adelaide, South Australia. harveyi@live.com
Purpose:
To demonstrate the utility of computed tomography angiographic planning of a single-stage, complete release of syndactyly in Apert syndrome.
Methods:
Computed tomography angiograms were performed as a preoperative planning tool in 6 patients. Five came to surgery. All had a single-stage operation for complete release of their syndactyly.
Results:
Five patients, ranging from Upton type 1 to type 3 Apert hand deformities, have had preoperative computed tomography angiography that delineated the vascular anatomy. This allowed planning and execution of a single-stage syndactyly release in all patients. The preoperative imaging identified noteworthy abnormalities in vascular anatomy that were incorporated into surgical planning.
Conclusions:
The protocol presented allows preoperative planning and single-stage operation for complete release of syndactyly in patients with Apert syndrome.
