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Constriction band syndrome.

V Visuthikosol1, T Hompuem

  • 1Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

Annals of Plastic Surgery
|November 1, 1988
PubMed
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Surgical intervention for constriction band syndrome, a congenital anomaly, yielded encouraging outcomes. Procedures like Z-plasty and digit separation improved limb function and appearance in most patients.

Area of Science:

  • Plastic Surgery
  • Congenital Anomalies
  • Pediatric Orthopedics

Background:

  • Constriction Band Syndrome (CBS) is a congenital anomaly affecting limbs.
  • Associated anomalies, such as acrocephalosyndactyly, are common in CBS.
  • Surgical management is the primary treatment for CBS.

Purpose of the Study:

  • To report surgical outcomes for 30 cases of Constriction Band Syndrome (CBS).
  • To evaluate the effectiveness of surgical techniques for CBS and associated anomalies.

Main Methods:

  • Retrospective review of 30 patients treated between 1973-1986.
  • One-stage Z-plasty for pure constriction bands.
  • Staged digit separation with flaps and grafts for acrocephalosyndactyly.

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Main Results:

  • Good results in 16/20 patients with isolated CBS.
  • Good results in 4/10 patients with acrocephalosyndactyly.
  • No cases of compromised distal limb circulation or flap loss.

Conclusions:

  • Surgical treatment for CBS provides encouraging results.
  • Z-plasty and staged separation are effective techniques.
  • Further research is needed to determine incidence and etiology.