PDF(Pubmed)
Abstract：
UNASSIGNED: Polydactyly is the most common congenital malformation in the limbs. However, it is rare for a patient to exhibit concomitant preaxial and postaxial polydactyly alongside syndactyly in both limbs, and there are limited recommendations for such conditions. This report presents a case of bilateral preaxial and postaxial polydactyly with syndactyly of the feet.
METHODS: A 2-year-old girl was presented with an excess number of toes on both feet and an abnormal connection between the second and third toes. After a physical examination and plain radiography, the patient was diagnosed with bilateral preaxial and postaxial polydactyly with syndactyly. We performed a one-stage surgical correction consisting of ablation at the extra digit of bilateral great and little toes, followed by syndactyly release using z-plasty. The surgery was uneventful, and the parents were satisfied with the result.
CONCLUSIONS: A plain radiograph is necessary for pre-operative planning. We discarded the excess digits for cosmetics and soft and hard tissue for optimal function. It is necessary to preserve the soft tissues, remove the auxiliary digit, realign the digit, and restore the ligaments to preserve digit stability.
CONCLUSIONS: The complexity of this case required a meticulous surgical approach to address the structural abnormalities, restore functionality, and improve cosmetic appearance. In this case, the surgery can be performed in one procedure to minimize patient morbidity.
METHODS: A 2-year-old girl was presented with an excess number of toes on both feet and an abnormal connection between the second and third toes. After a physical examination and plain radiography, the patient was diagnosed with bilateral preaxial and postaxial polydactyly with syndactyly. We performed a one-stage surgical correction consisting of ablation at the extra digit of bilateral great and little toes, followed by syndactyly release using z-plasty. The surgery was uneventful, and the parents were satisfied with the result.
CONCLUSIONS: A plain radiograph is necessary for pre-operative planning. We discarded the excess digits for cosmetics and soft and hard tissue for optimal function. It is necessary to preserve the soft tissues, remove the auxiliary digit, realign the digit, and restore the ligaments to preserve digit stability.
CONCLUSIONS: The complexity of this case required a meticulous surgical approach to address the structural abnormalities, restore functionality, and improve cosmetic appearance. In this case, the surgery can be performed in one procedure to minimize patient morbidity.
摘要：
■多指畸形是四肢最常见的先天性畸形。然而,这是罕见的患者表现出伴随前轴和后轴的多指同时在两个肢体，这些条件的建议有限。本报告介绍了双侧前轴和后轴多指并足的病例。
方法：一名2岁女孩双脚脚趾数量过多，第二脚趾和第三脚趾之间的连接异常。在体格检查和平照后，该患者被诊断为双侧前轴和后轴多指并并指。我们进行了一期手术矫正，包括切除双侧大脚趾和小脚趾的多余手指，然后使用Z-成形术进行并指释放。手术很顺利,父母对结果很满意。
结论：术前计划需要X线平片。我们丢弃了化妆品和软硬组织的多余数字，以获得最佳功能。有必要保护软组织，删除辅助数字，重新调整数字，并恢复韧带以保持手指稳定性。
结论：这种情况的复杂性需要细致的手术方法来解决结构异常，还原功能，并改善化妆品外观。在这种情况下,手术可以在一个程序中进行，以最大程度地减少患者的发病率。
方法：一名2岁女孩双脚脚趾数量过多，第二脚趾和第三脚趾之间的连接异常。在体格检查和平照后，该患者被诊断为双侧前轴和后轴多指并并指。我们进行了一期手术矫正，包括切除双侧大脚趾和小脚趾的多余手指，然后使用Z-成形术进行并指释放。手术很顺利,父母对结果很满意。
结论：术前计划需要X线平片。我们丢弃了化妆品和软硬组织的多余数字，以获得最佳功能。有必要保护软组织，删除辅助数字，重新调整数字，并恢复韧带以保持手指稳定性。
结论：这种情况的复杂性需要细致的手术方法来解决结构异常，还原功能，并改善化妆品外观。在这种情况下,手术可以在一个程序中进行，以最大程度地减少患者的发病率。
