Congenital Differences-Correction of the Typical Cleft Hand

Correction of the Typical Cleft Hand

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The correction of type II and III typical cleft hands can be complicated due to the various congenital problems that can exist, such as syndactyly, thumb hypoplasia, and abnormal phalanges. This article presents a surgical technique for the correction and transposition of the index ray in these cases. The technique involves a simple incision that separates the glabrous and dorsal skin surfaces and precise skeletal alignment. Preservation of the adductor pollicis muscle is important for functional pinch. The technique aims to avoid long-term problems like persistent radial deviation of the index finger. <br /><br />The article also discusses the indications and contraindications for surgery, as well as the anatomy and technique of correction. It emphasizes the importance of proper incisions, preservation of the adductor pollicis muscle, and correction of any flexion contractures. The article presents a clinical case of a 14-month-old girl with a type IIb cleft hand, whose hand was successfully corrected using the described technique. <br /><br />There are several pearls and pitfalls associated with this surgery, including the positioning of the index ray, timing of the surgery, and complications such as wound dehiscence and thumb instability. The article concludes by highlighting the need for periodic follow-up and early completion of any necessary revisions. Overall, the technique described in this article aims to provide a functional and aesthetically pleasing hand for patients with typical cleft hands.

Keywords

correction

cleft hands

surgical technique

index ray

adductor pollicis muscle

radial deviation

indications

complications

follow-up

functional hand