NOSOLOGY OF HAND DISEASES IN CHILDREN AND ADOLESCENTS OPERATED IN PROVISIONAL FACILITIES IN A MODEL HOSPITAL -...

Area of Science:

• Orthopedics
• Pediatric Surgery
• Hand Surgery

Background:

• Congenital hand diseases require specialized surgical intervention.
• Understanding disease prevalence is crucial for resource allocation and treatment planning.
• The collective mobilization system aims to improve access to hand surgery.

Purpose of the Study:

• To determine the frequency of congenital hand diseases in patients treated via a collective mobilization system.
• To compare the prevalence of congenital and acquired hand lesions.
• To evaluate the efficiency of the collective mobilization system for hand surgery.

Main Methods:

• Retrospective analysis of 833 children and adolescents examined in eight missions.
• Data collection on surgical interventions for congenital malformations and acquired lesions.
• Categorization and frequency calculation of specific hand diseases and injuries.

Main Results:

• 36.7% of patients underwent surgery, with 78.4% for congenital malformations and 21.6% for acquired lesions.
• Syndactyly (30.0%) and polydactyly (12.5%) were the most frequent congenital malformations.
• Obstetric trauma (39.4%) and hand trauma sequelae (27.3%) were the most common acquired injuries.

Conclusions:

• The spectrum of hand diseases aligns with large elective surgery series, particularly congenital deformities.
• Acquired hand lesions appear more prevalent than reported in international studies.
• The collective mobilization system is an efficient model for hand surgery, supporting public health initiatives.