Complications of Suture Ligation Ablation for Ulnar Polydactyly: A Report of Two Cases

Patillo, Dominic; Rayan, Ghazi M.

doi:10.1007/s11552-010-9303-7

Cited by 18 publications

(19 citation statements)

References 20 publications

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“…Table 3 outlines their study design, OCEBM level of evidence, and alternative sources of bias. Carpenter et al 16 No complications Katz and Linder 17 No complications Leber and Gosain 11 No complications Mullick and Borschel 18 No complications Patillo and Rayan 19 No complications Singer et al 20 Flat scar (90%) Residual nubbins (10%) Comparative analyses…”

Section: Resultsmentioning

confidence: 99%

“…11,[16][17][18][19][20] Five studies reported no acute or long-term complications following surgical excision. 11,[16][17][18][19] Of these 5, the largest case series consisted of 26 patients (38 digits), and the longest follow-up time was 6 years. In a popular study, Leber and Gosain retrospectively analyzed surgical excision.…”

Section: Surgical Excisionmentioning

confidence: 99%

“…The remaining patients underwent suture ligation (n = 2) or delayed excision under general anesthesia (n = 2). Follow-up was not completed 17 Case series Prospective 4 -Leber and Gosain 11 Case series Case reports provided 4 -Mullick and Borschel 18 Case series Retrospective chart review 4 -Patillo and Rayan 19 Case series Case reports provided 4 Follow-up period not specified for all patients Singer et al 20 Case series Retrospective chart review 4 Mixed morphologies included in outcome analysis, questionnaire to assess long-term outcomes, incomplete patient follow-up Mills et al 14 Case for 1 child who underwent suture ligation. No residual deformities were appreciated throughout the groups.…”

Section: Comparative Studiesmentioning

confidence: 99%

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To Tie or Not to Tie: A Systematic Review of Postaxial Polydactyly and Outcomes of Suture Ligation Versus Surgical Excision

Chopan

Sayadi

Chim

et al. 2018

Hand (New York, N,Y.)

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Background: Ulnar polydactyly is frequently encountered in the newborn nursery and is commonly treated with bedside suture ligation. However, growing concern about the complications associated with suture ligation has led some practitioners to advocate for primary surgical excision instead. Thus, we set out to compare outcomes of suture ligation and surgical excision by systematic appraisal of the literature. Methods: Following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, a systematic review was performed to identify studies published between 1950 and 2017 that described outcomes of suture ligation, surgical excision, or both. Baseline characteristics, complications, and study quality were extracted for each included article. Results: A total of 900 articles were reviewed, of which 10 studies (8 case series, 2 comparative analyses) met the inclusion criteria. There was considerable heterogeneity among the studies with respect to patient characteristics and reported outcomes. There were 2 retrospective case series of suture ligation that reported no acute complications and a variable proportion of patients with residual remnants or neuromas. Studies evaluating surgical ligation reported no acute or long-term complications, with only 1 case series reporting a small percentage of residual remnants. However, in the largest cohort analysis, the difference in complication rate was reported to be as high as 23.5% for suture ligation compared with 3% for surgical excision. Conclusions: There is a paucity of literature limiting the comparison of suture ligation and surgical excision for ulnar polydactyly. Further studies are required to determine the optimal treatment.

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Section: Resultsmentioning

confidence: 99%

Section: Surgical Excisionmentioning

confidence: 99%

Section: Comparative Studiesmentioning

confidence: 99%

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To Tie or Not to Tie: A Systematic Review of Postaxial Polydactyly and Outcomes of Suture Ligation Versus Surgical Excision

Chopan

Sayadi

Chim

et al. 2018

Hand (New York, N,Y.)

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“…The cost of printing color figures is the responsibility of the author.In general, authors of case reports should use the Brief Report format.Volar Flap Closure of a Broad-based Supernumerary Finger simple cases such as the development of painful neuroma and surgical site infection. 1,2…”

mentioning

confidence: 99%

“…Volar Flap Closure of a Broad-based Supernumerary Finger simple cases such as the development of painful neuroma and surgical site infection. 1,2…”

mentioning

confidence: 99%

Volar Flap Closure of a Broad-based Supernumerary Finger

Collier

Nakayama

2013

The American Surgeon™

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Brief Reports should be submitted online to www.editorialmanager.com/ amsurg. (See details online under ''Instructions for Authors''.) They should be no more than 4 double-spaced pages with no Abstract or sub-headings, with a maximum of four (4) references. If figures are included, they should be limited to two (2). The cost of printing color figures is the responsibility of the author.In general, authors of case reports should use the Brief Report format.Volar Flap Closure of a Broad-based Supernumerary Finger simple cases such as the development of painful neuroma and surgical site infection. 1,2

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