Comparing Results of Syndactyly Operated Children Younger and Older Than 1 Year

Ann Plast Surg. 2021 Jun 1;86(6):635-639. doi: 10.1097/SAP.0000000000002773.

Abstract

Introduction: Syndactyly has a cosmetic, functional, and psychosocial impact, and surgical treatment is indicated in most cases. This study aimed to retrospectively identify whether patients undergoing surgical release of syndactyly younger than 1 year presented different results compared with those operated older than 1 year.

Methods: Patients were assessed through photographic records by 3 independent specialist surgeons for the quality of scar, presence of web creep, rotational, flexion-extension, and lateral flexion deformities using the Withey score.

Results: Thirty-four patients were included in the study, totaling 51 commissures operated. The score was higher in the group operated younger than 1 year (5.83 ± 2.39) compared with the group older than 1 year (3.94 ± 1.93), being statistically significant, with a P value of 0.011.

Conclusions: Children with syndactyly operated younger than 1 year have worse postoperative outcomes measured by the Withey score than those operated older than 1 year.

MeSH terms

  • Child
  • Humans
  • Plastic Surgery Procedures*
  • Retrospective Studies
  • Skin Transplantation
  • Surgical Flaps
  • Syndactyly* / surgery