Postoperative Growth in Radial Polydactyly: A Clinical Study

作者：Wang, Long; Tao, Xianyao; Gao, Weiyang^*; Ding, Jian; Zhou, Zongwei; Feng, Xiaoliang

来源：Journal of Hand Surgery-American Volume, 2016, 41(9): E273-E278.

DOI：10.1016/j.jhsa.2016.06.012

• Catch-up growth
• digit ratio
• radial polydactyly
• thumb

Purpose This study was designed to evaluate thumb growth after surgical management of a duplicate thumb and investigate its developmental pattern. @@@ Methods We compared the thumbs and index fingers of 486 normal children (aged 1-18 y) (group A) with 15 children showing radial polydactyly (group B). All duplicate thumbs were treated with excision of the radial thumb and reconstruction of the ulnar thumb. Radiographs of groups A and B were used to compute the thumb-to-index finger length ratio and width ratio, and the thumb-to-index finger phalanx length ratio and phalanx width ratio. @@@ Results In group A, the length ratio, width ratio, phalanx length ratio, and phalanx width ratio did not change with age, and remained constant in males and females. In group B, after an average follow-up period of 41.0 months, the original findings were also similar to the final ratios. In group B, only the phalanx width ratio was obviously smaller than normal. @@@ Conclusions A permanent developmental stability exists between the thumb and the index finger, even in patients with radial polydactyly. The development of the retained digit is not influenced by the ablation of the extra digit.

• 出版日期2016-9
• 单位温州医科大学