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Surgical management of atypical cleft hand: Rare congenital orthopedic disorder
Yoyos D Ismiarto1, Christian Setiadi1, D Fachri1
1Department of Orthopaedics and Traumatology, Faculty of medicine Universitas Padjadjaran, Hasan Sadikin General Hospital, Bandung, Indonesia.
Insights
Surgical management of cleft hand, a rare congenital condition, can significantly improve a child's hand function and appearance. This case report details a successful surgical approach for a complex cleft hand deformity.
Area of Science:
- Congenital Hand Surgery
- Pediatric Orthopedics
- Plastic Surgery
Background:
- Cleft hand is a rare congenital anomaly impacting aesthetics and psychosocial development.
- Surgical techniques for cleft hand are infrequently documented.
- Early intervention is crucial for optimal outcomes.
Introduction And Importance:
Cleft hand is a rare congenital deformity which may impair the aesthetic appearance and psychosocial of a child. The operative technique of cleft hand is rarely reported. We aimed to describe the surgical management of cleft hand.
Presentation Of Case:
A 5-year-old girl was presented to our department with the right hands split in half, forming a V-shaped cleft. The child also had finger and feet deformities. We performed a complex surgical procedure, consisting of first web correction, cleft closure, close wedge osteotomy at carpometacarpal joint, internal fixation with k-wire for base metacarpal, and ablation for accessory finger at radial side of index finger. The surgery was uneventful and the parents were satisfied with the result.
Clinical Discussion:
Several surgical approaches had been proposed to manage cleft hand. A surgical approach of first web correction, cleft closure, close wedge osteotomy at carpometacarpal joint, internal fixation with k-wire for base metacarpal, and ablation of accessory finger was a reasonable approach to improve hand cosmetic and function.
The Conclusion:
Surgical treatment of cleft hand is important to improve hand cosmetic and function. Each patient may present with different deformities and the surgical approach must be individualized.
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