For syndactyly or webbed fingers, surgical separation may be performed depending on the condition and the structures involved. In cases of extra digits or duplicated thumbs, reconstructive procedures may be considered to improve thumb function and appearance. The surgical approach depends on the individual condition and may involve different reconstructive techniques.
Birth Defects Of Hands
Congenital hand conditions may be treated by a plastic surgeon, hand surgeon, paediatric surgeon, or paediatric orthopaedic specialist. A multidisciplinary team may also be involved, depending on the condition. Listed below are some common conditions and their treatment options.
Common Conditions and Their Treatment Options
Babies may be born with two or more fingers joined by a web of skin, a condition known as syndactyly. Cases may be simple or complex if there is also bony union. Separation may require skin grafting when there is insufficient skin to cover the fingers. In selected cases, separation can be performed without grafts. The timing of surgery depends on the type and severity of the condition and should be determined by a specialist.
Different grades of duplicated thumb require different surgical procedures. Treatment involves more than simply removing the extra-looking part. In many cases, structures from both thumb components need to be combined or reconstructed to improve thumb shape and function.
Extra digits may develop on the little finger side of the hand. The complexity of these cases varies, and treatment timing depends on the type of duplication and the child’s clinical assessment.
Several other congenital hand conditions may be managed through reconstructive surgery. Examples include camptodactyly, a condition in which a finger is permanently bent, and congenital constriction bands.