Clinical and operative risk factors for complications after Apert hand syndactyly reconstruction
This study evaluated how Apert hand syndactyly presentations and reconstructive techniques influence reconstruction outcomes. All cases at a major paediatric hospital between 2007 and 2022 were analysed, including 98 web space reconstructions in 17 patients. Overall, 62% of hands developed complications and 15% required revision surgery. Upton hand type was significantly associated with postoperative complication incidence, specifically including range-of-motion deficits, flexion contracture, web creep and revision surgery. More severe syndactylies may benefit from additional measures to reduce complications. Rectangular commissural flaps showed 1.9 times greater complication risk than interdigitating triangular flaps, including 11.2 times greater risk of web creep. Zigzag volar finger flaps showed 1.8 times greater complication risk than straight-line incisions, including 3.8 times greater risk of web creep. Our study showed that interdigitating triangular commissural flaps and straight-line volar finger incisions are preferable to rectangular commissural and zigzag finger flaps in most cases of Apert hand syndactyly to minimize complications.
LEVEL OF EVIDENCE: III.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:49 |
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| Enthalten in: |
The Journal of hand surgery, European volume - 49(2024), 5 vom: 11. Apr., Seite 617-626 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Cordray, Holly [VerfasserIn] |
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| Links: |
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| Themen: |
Acrocephalosyndactylia |
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| Anmerkungen: |
Date Completed 24.04.2024 Date Revised 26.04.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1177/17531934231213516 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM364790679 |
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| 500 | |a Date Revised 26.04.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a This study evaluated how Apert hand syndactyly presentations and reconstructive techniques influence reconstruction outcomes. All cases at a major paediatric hospital between 2007 and 2022 were analysed, including 98 web space reconstructions in 17 patients. Overall, 62% of hands developed complications and 15% required revision surgery. Upton hand type was significantly associated with postoperative complication incidence, specifically including range-of-motion deficits, flexion contracture, web creep and revision surgery. More severe syndactylies may benefit from additional measures to reduce complications. Rectangular commissural flaps showed 1.9 times greater complication risk than interdigitating triangular flaps, including 11.2 times greater risk of web creep. Zigzag volar finger flaps showed 1.8 times greater complication risk than straight-line incisions, including 3.8 times greater risk of web creep. Our study showed that interdigitating triangular commissural flaps and straight-line volar finger incisions are preferable to rectangular commissural and zigzag finger flaps in most cases of Apert hand syndactyly to minimize complications | ||
| 520 | |a LEVEL OF EVIDENCE: III | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Acrocephalosyndactylia | |
| 650 | 4 | |a Apert hand | |
| 650 | 4 | |a Apert syndrome | |
| 650 | 4 | |a hand surgery | |
| 650 | 4 | |a syndactyly | |
| 700 | 1 | |a Graham, Emily M |e verfasserin |4 aut | |
| 700 | 1 | |a Kota, Anchith |e verfasserin |4 aut | |
| 700 | 1 | |a Shah, Apurva S |e verfasserin |4 aut | |
| 700 | 1 | |a Chang, Benjamin |e verfasserin |4 aut | |
| 700 | 1 | |a Mendenhall, Shaun D |e verfasserin |4 aut | |
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