Naslov
Polydactyly of the foot: is timing of surgery critical for mid-term outcome?

Autori
Kubat, Ozren ; Šmigovec, Igor ; Đapić, Tomislav, Antičević, Darko

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Journal of Children's Orthopaedics / Wientroub, Shlomo ; Hefti, Fritz - Basel : Springer, 2011, S14-S14

Skup
European Paediatric Orthopaedic Society (EPOS) 30th Annual Meeting

Mjesto i datum
Basel, Švicarska, 06.04.2011. - 09.04.2011

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
Polydactyly; foot; surgery

Sažetak
Aim: To evaluate mid-term outcome of treatment of polydactyly of the foot, with primary focus on timing of surgery. Materials and Methods: We report on 24 patients (9 male, 15 female) with polydactyly of the foot surgically treated at our institution between 1995 and 2008. For the purpose of this retrospective review we divided patients in two groups according to age at the time of surgery – under 5 years of age (A), and older than 5 years of age (B). The age of 5 was chosen as a milestone for gait development, because at that age children attain normal mature gait. There were 12 patients in each group. Median follow-up after surgery was 11 yrs 6 mos (range, 1 year 6 mos – 15 yrs). We assessed functional, radiological and cosmetic outcomes. Results: Eight patients had preaxial and 16 postaxial polydactyly. Two patients with preaxial polydactyly had associated hallux varus deformity, 8 patients with postaxial polydactyly had associated polymetatarsia. Bilateral involvement was seen in 6 patients. Median age at surgery in group A was 1 year (range, 9 mos – 4 yrs 6 mos) and in group B, 8 yrs 6 mos (range, 6 yrs – 37 yrs). All patients were able to walk and wear every-day footwear without pain and/or discomfort. Post-operative X-ray images showed fifth toe varus malposition in two group A patients. One patient in group A had excess of soft tissue on the site of surgery. In group B, one patient suffered a fracture of the fifth metatarsal after removal of internal fixation (K-wire). Conclusion: We were unable to identify any significant differences in outcome between the two groups. Significance: There are two controversial issues in treating polydactyly, operative procedure selection and timing of surgery. We propose that correct selection of operative procedure, rather than timing, is key to success.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA