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Updated: Jan 27, 2026
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Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
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Congenital Thumb-Index Web Space Deficiency.
Tiffany Wu1, Adam Walchak1, Ghazi M Rayan2
1The University of Oklahoma College of Medicine, Oklahoma City, USA.
Hand (New York, N.Y.)
|March 22, 2019
Summary
Congenital thumb-index web space deficiency often co-occurs with other hand differences. Surgical reconstruction is complex, frequently requiring multiple procedures to optimize hand function.
Area of Science:
- Pediatric Orthopedics
- Hand Surgery
- Congenital Anomalies
Background:
- Thumb-index (TI) web space deficiency is a congenital hand difference.
- Literature lacks comprehensive data on associated congenital hand differences.
- Understanding these associations is crucial for effective treatment planning.
Purpose of the Study:
- To identify congenital hand differences associated with TI web space deficiency.
- To document reconstructive surgical procedures used for TI web space deficiency.
- To analyze surgical outcomes and recurrence rates.
Main Methods:
- Retrospective chart review of 71 patients (77 hands) over 30 years.
- Data collection on demographics, associated anomalies, and surgical procedures.
- Analysis of operative settings and number of procedures per patient.
Main Results:
- 12 different congenital hand differences were identified (62 developmental, 9 spastic).
- 186 upper extremity operations were performed, averaging 2.6 settings and 7.5 procedures per patient.
- Common procedures included first dorsal metacarpal artery pedicle flaps, Z-plasties, and 16 different thumb reconstructions; 10 patients needed revisions.
Conclusions:
- TI web space deficiency prevalence is underestimated.
- Associated musculoskeletal anomalies are common and require surgical intervention.
- Optimizing hand function may necessitate multiple procedures, ideally performed concurrently.
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