Case Report
Year: 2020 | Month: October | Volume: 7 | Issue: 10 | Pages: 267-271
Management of a Case of Split Hand /Foot Malformation with Functional Triumph
Meheraj SK1, Naveen Kumar2
1Senior Resident, Department of Plastic& Reconstructive Surgery, IPGMER & SSKM Hospital, Kolkata -700020
2Assistant Professor, Department Of Plastic Surgery, Lady Hardinge Medical College And Associated Hospital, New Delhi -110001
Corresponding Author: Naveen Kumar
ABSTRACT
Introduction: Split-hand/split-foot malformation (SHFM). It is defined as a malformation of the limb involving the central rays of the autopod and presenting with a deep median cleft of the hand and/or foot, aplasia/hypoplasia of the phalanges, metacarpals, and metatarsals. We report a case of management of ectrodactyly involving both hands and feet.
Case Report: A 4 yr old male child who was born out of non-consanguineous marriage presented with the gap at the middle of both hands and foot since birth, with associated history of falling of small object through the gaps of the hands. Snow-Littler technique was planned first on Right hand and then after 6 months on the left hand. Syndactyly was released between 3rd and 4th digit using Cronin technique & the raw area was covered by Split Thickness skin graft. Removal of polydactylysed digit was performed from right 1st web-space and the transposition of index finger to 3rd metacarpal was done using K- wire.
Conclusion: Surgical management at the right time and proper counseling of the parents are required in order to have a functional triumph in the affected child with avoidance of recurrence of the condition in the future pregnancies.
Keywords: Split, Hand, Feet, Ectrodactyly, Malformation
[PDF Full Text]