Abstract
Congenital anomalies of the hand present as challenges to the hand surgeon. To handle these problems well, the surgeon must analyze the complexity of the problem, set the right priorities, choose the right timing for intervention, apply a multitude of techniques, and plan ahead for rehabilitation. Any reconstruction must not do any harm. Reconstructions have their limitations; either too optimistic or too conservative would bring inferior results. The functional consideration is far more important than structural restoration. With the admirable ability of the small children to adapt to structural defects, one expects reasonable functional achievements even with limited structural restorations. The diversity of problems, the complexity of planning, and the demand for surgical skills in the management of congenital anomalies are well illustrated in two examples, Thumb Deficiency and Radial Club Hand. Copyright © 2002 by the American Society for Surgery of the Hand
Published Version
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