Surgical treatment of the congenital distal syndactyly in constriction band syndrome during neonatal period

Abstract

Objective To investigate the surgical treatment of the congenital distal syndactyly in constriction band syndrome during neonatal period. Methods From January 2014 to April 2018, 6 cases of congential constriction band syndrome with distal syndactyly in neonatal period were treated by early finger segment division under local anesthesia. The full-thickness suture of incision or direct application of sterile dressing was performed. Results All the patients were follow-up for 6 to 13 months with an average of 8.6 months. All the incisions achieved healing within 2 weeks after operation, and there were no complications such as infection and necrosis of the distal finger skin. The appearance and grip function of the affected fingers were significantly improved compared with those before operation. Moses evaluation criteria were used to evaluate 6 cases with excellent results. Conclusion The children with congenital distal syndactyly in constriction band syndrome can be operated on as early as possible in neonatal period, and satisfactory results can be obtained. Key words: Hand deformities,congenital; Surgical procedures,operative; Neonatal period; Distal syndactyly in constriction band syndrome; Local anesthesia