Nail size and appearance following nail fusion plasty of thumb duplication✰

Wang, Anyuan; Wu, Hongqiang; Wang, Long; Zhou, Zongwei; Ding, Jian; Gao, Weiyang

doi:10.1016/j.bjps.2018.12.048

Cited by 3 publications

(1 citation statement)

References 13 publications

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“…Centres that published long-term outcomes have either pooled cases within the Wassel classification or other systems, used different surgical techniques, reported results using various assessment systems with a short or long follow-up time. As mentioned, all these variables make the results difficult to compare (Cheng et al., 1984; de Almeida, 2017; Engelhardt et al., 2016; Gholson et al., 2019; Kayalar et al., 2014; Ku et al., 2022; Lee et al., 2022; Patel et al., 2014; Stutz et al., 2014; Wang et al., 2019; Yen et al., 2006) (Table 1).…”

Section: Assessmentmentioning

confidence: 99%

Complications after radial polydactyly surgery: analysis, prevention and management

Hovius,

Kruit

2023

J Hand Surg Eur Vol

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Long-term follow-up after surgical correction of patients with radial polydactyly might reveal unexpected or undesired outcomes that are accentuated by growth. It should be stressed that assessment of outcomes differs considerably by the system used. Preoperative examination can elucidate the underlying pathological anatomy of these anomalies and consequently, these anatomical differences should be corrected as much as possible during the first operation to prevent worse outcomes at long-term follow-up. In various long-term studies, the reoperation rate was in the range of 7%–28%, with the most common reasons being deviation, instability, nail deformity and suboptimal appearance. Most unfavourable results occur during growth and are frequently revealed only at longer-term follow-up. Concentration of care to a few centres is advised since these malformations occur in small numbers and experienced surgeons tend to have better results. Consensus on the used assessment system and multicentred studies are essential in future to better understand how we can prevent reoperations.

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