Radial Polydactyly and the Incidence of Reoperation Using A New Classification System
| Autor: | Pooya Hosseinzadeh, Scott A. Riley, Brian J. Evanson, Ronlad C. Burgess |
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| Rok vydání: | 2016 |
| Předmět: |
Male
Reoperation medicine.medical_specialty 030230 surgery Surgical planning 03 medical and health sciences 0302 clinical medicine Statistical significance Humans Medicine Orthopedics and Sports Medicine Statistical analysis Family history Child Radial polydactyly 030222 orthopedics Polydactyly business.industry Incidence Incidence (epidemiology) Infant General Medicine medicine.disease Wassel classification Surgery Thumb Child Preschool Pediatrics Perinatology and Child Health Female business |
| Zdroj: | Journal of Pediatric Orthopaedics. 36:158-160 |
| ISSN: | 0271-6798 |
| DOI: | 10.1097/bpo.0000000000000395 |
| Popis: | BACKGROUND Polydactyly is one of the more common congenital deformities with an incidence of 0.8 to 1.4 per 1000. Traditionally the Wassel Classification system has been used, which is based on the level of duplication seen on plain radiographs. Although it is helpful in describing the anatomic characteristics, it is somewhat limited with regards to surgical planning and postoperative outcomes. Chung and colleagues, recently proposed a new classification system that categorizes radial polydactyly based on morphologic features that provides helpful information to be used in surgical decision making. We reviewed all radial polydactyly cases that had undergone operative intervention at our center over a 10-year period to investigate if this new classification system correlates with the rate of reoperation. METHODS A total of 60 thumbs in 54 patients that were treated surgically from 2000 to 2010 at our institution were included in this study. Only patients with a minimum follow-up of 2 years were included. The authors categorized all duplications based on the classification system proposed by Chung and colleagues: type I (Joint Type), type II (Single Epiphyseal Type), type III (Osteochondroma-like Type), and type IV (Hypoplastic Type). Statistical analysis was then used to look at this classification system as it relates to sex, family history, syndrome association, and the need for reoperation. RESULTS Of the 60 radial polydactyly cases, 37 (62%) were type I; 6 (10%) were type II; 6 (10%) were type III; and 11 (18%) were type IV. Six thumbs underwent reoperation for residual deformity-3 type I, 3 type II, and none of the types III or IV. No statistical significance was found when comparing classification group to sex, family history, syndrome association, laterality, or bilateral involvement. Statistical significance (P |
| Databáze: | OpenAIRE |
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