What type of study is this?

This is a Human Clinical Trial study.

September 5, 2025

A Three-Stage Surgical Approach to Preserving a Severely Hypoplastic Thumb with Syndactyly

MVMaria Patricia M. ValdezNational Center For Child Health and Development TTTakehiko TakagiNational Center For Child Health and Development CBCharmaine Blanche C. BadillesNational Center For Child Health and Development

Puntos clave

The innovative surgical technique led to significant functional improvement in a child with thumb hypoplasia.
Stable alignment and a maintained 45-degree palmar abduction were observed 5 years post-surgery.
The approach involved sequential syndactyly release and muscle transfers, addressing both aesthetic and functional goals.
Minor fine motor limitations were noted, but the patient excelled in daily living activities.

Resumen

An 11-month-old male child presented with severe congenital thumb hypoplasia, syndactyly of the thumb and index finger, and radial longitudinal deficiency. A novel three-stage surgical approach was performed to achieve functionality while respecting familial preference for thumb preservation using sequential syndactyly release, structural reconstruction using bone graft, and muscle and tendon transfers. The reconstructed thumb demonstrated early wound healing, stable alignment, and maintained a 45-degree palmar abduction even up to 5 years postoperatively. Despite minor fine motor limitations, the patient showed functional improvement and performed activities of daily living excellently, successfully meeting esthetic and functional goals.

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