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Congenital hand deformities - a clinical report of 191 patients
Objective:
To evaluate the incidence, therapy results and complications of operatively treated congenital disorders of the hand in a large state hospital during a 14-year period.
Method:
The institutional database was retrospectively analysed for patients with congenital disorders of the hand during a 14-year period (1998-2012). Disorders were classified according to the modified Swanson classification. For each entity, the incidence, the patients age at the time of the operation and operation techniques were evaluated.
Results:
A total of 191 patients was treated operatively for the congenital disorders of the hand with syndactyly being present in 87, polydactyly in 66, constriction ring syndrome in 7, clinodactyly in 5, macrodactyly in 10, camptodactyly in 8, cleft hand in 5 and thumb hypoplasia in 3 cases. Patients age at the time of the operation was 5.2 as a mean value.
Conclusion:
Congenital hand deformities were seen 1.5 times in male patients compared with female patients. In complex cases where bone deformities seem to disrupt the soft tissue envelope development, surgery is indicated at a preschool age.
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