965 Removal of Polydactyly in Paediatric Patients with Ligaclips, 10 Year Retrospective Analysis Establishing a Complication Rate and Acceptance to Patients

Abstract

Abstract Polydactyly is the most common congenital hand deformity. There remains no consensus opinion on the management of a type B post axial polydactyly leading to variations in approach. This study aimed to assess the complication rate and acceptance to patients. A retrospective analysis of Polydactyly type B patients in a tertiary London hospital was performed over a 10-year period. All of these patients had undergone a clinic ligation of the accessory digit with ligaclips. Those with bony elements (type A patients) were operated on in theatre and were excluded. Parents were asked to rate the outcome on a linkert scale as very poor, poor, fair, good, outstanding and complications from the procedure were recorded. 339 procedures were performed with a 100% success rate in removal of the accessory digits. Reported complications were as follows: one clip fell off but made no difference to the outcome, and seven ‘nubbins’ remained on the limb (2.06%) of which none were painful. There were no other complications reported. All parents rated the success of the procedure as good (1%, n=3) or outstanding (99%, n=336). Using a ligaclip as the preferred method of removal for Polydactyly type B patients gave a complication rate of 2.06% which was exclusively in the form of ‘nubbins’ and the results were acceptable to patients.