1 / 29

Preaxial duplication R. Sh. Kamrani 90/2/20

Preaxial duplication R. Sh. Kamrani 90/2/20. Incidence 1-2% of neonate with congenital anomaly 10% with upper extremity anomaly. Incidence Most common polyductyly in Whites and Asians Second common anomaly in hand 1/3000 birth Usually Unilateral Sporadic Without other syndromes .

ondrea
Télécharger la présentation

Preaxial duplication R. Sh. Kamrani 90/2/20

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Preaxial duplication R. Sh. Kamrani 90/2/20

  2. Incidence • 1-2% of neonate with congenital anomaly • 10% with upper extremity anomaly

  3. Incidence • Most common polyductyly in Whites and Asians • Second common anomaly in hand • 1/3000 birth • Usually • Unilateral • Sporadic • Without other syndromes

  4. Classification • Wassel

  5. Clinical • Widening of the tip to two complete thumb rays • Hypoplasia (radial side more hypoplastic) • Convergent or divergent • Flat hand • Deviate or delta phalanx

  6. Treatment • Surgery • Indication • Cosmetic • Function • Age of surgery • 6-12-18 m. • <5 y. • 8-10 y. for revision • Kinds of surgery

  7. Treatment • Preoperative splinting • Kinds of surgery • Simple excision • Bilhaut-Cloquet • Excision and lig. Reconstruction

  8. Treatment • Bilaut-Cloquet • Meticulous physeal rearrangement

  9. Excision and reconstruction • Which thumb

  10. Steps of reconstruction

  11. ???

  12. Thank you for your attention

More Related