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Long-term results of syndactyly correction by the trilobed flap technique focusing on hand function and quality of life.

Widerberg, Annika LU ; Sommerstein, K; Dahlin, Lars LU and Rosberg, HansE LU (2015) In Journal of Hand Surgery, European Volume
Abstract
Syndactyly is usually corrected surgically during the first years of life. The trilobed flap, a surgical method that does not require skin grafting, was developed in the 1990s and the short-term results were comparable with previously reported techniques. Here we report on long-term outcomes, focusing on how children perceive their hand function and quality of life when they grow up. A total of 19 patients (29 web spaces) were operated on between 1990 and 2000, and followed-up 16 years later with questionnaires and clinical tests. The patients reported low QuickDASH scores, normal sensibility and dexterity, and minor cold intolerance. Only two reoperations, due to early web creep, were needed. The condition minimally affected the choice of... (More)
Syndactyly is usually corrected surgically during the first years of life. The trilobed flap, a surgical method that does not require skin grafting, was developed in the 1990s and the short-term results were comparable with previously reported techniques. Here we report on long-term outcomes, focusing on how children perceive their hand function and quality of life when they grow up. A total of 19 patients (29 web spaces) were operated on between 1990 and 2000, and followed-up 16 years later with questionnaires and clinical tests. The patients reported low QuickDASH scores, normal sensibility and dexterity, and minor cold intolerance. Only two reoperations, due to early web creep, were needed. The condition minimally affected the choice of occupations, leisure activities and perceptions of appearance. The trilobed flap technique for release of syndactyly provides a good long-term outcome with good hand function and minimal impact on the quality of life. (Less)
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author
organization
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type
Contribution to journal
publication status
published
subject
in
Journal of Hand Surgery, European Volume
publisher
SAGE Publications Inc.
external identifiers
  • pmid:26546604
  • scopus:84958242969
  • wos:000374326400010
ISSN
2043-6289
DOI
10.1177/1753193415613724
language
English
LU publication?
yes
id
e7e71c96-25c6-4008-bc5b-67e21bd414f6 (old id 8240063)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/26546604?dopt=Abstract
date added to LUP
2015-12-03 10:53:59
date last changed
2017-09-24 04:36:04
@article{e7e71c96-25c6-4008-bc5b-67e21bd414f6,
  abstract     = {Syndactyly is usually corrected surgically during the first years of life. The trilobed flap, a surgical method that does not require skin grafting, was developed in the 1990s and the short-term results were comparable with previously reported techniques. Here we report on long-term outcomes, focusing on how children perceive their hand function and quality of life when they grow up. A total of 19 patients (29 web spaces) were operated on between 1990 and 2000, and followed-up 16 years later with questionnaires and clinical tests. The patients reported low QuickDASH scores, normal sensibility and dexterity, and minor cold intolerance. Only two reoperations, due to early web creep, were needed. The condition minimally affected the choice of occupations, leisure activities and perceptions of appearance. The trilobed flap technique for release of syndactyly provides a good long-term outcome with good hand function and minimal impact on the quality of life.},
  author       = {Widerberg, Annika and Sommerstein, K and Dahlin, Lars and Rosberg, HansE},
  issn         = {2043-6289},
  language     = {eng},
  month        = {11},
  publisher    = {SAGE Publications Inc.},
  series       = {Journal of Hand Surgery, European Volume},
  title        = {Long-term results of syndactyly correction by the trilobed flap technique focusing on hand function and quality of life.},
  url          = {http://dx.doi.org/10.1177/1753193415613724},
  year         = {2015},
}