Five-year experience in the treatment of syndactyly and polydactyly of the hand with respect to satisfaction of patient parents

Abstract

Uvod: Ishodi kirurškog liječenja sindaktilije i polidaktilije šake u dječjoj dobi mogu se procjenjivati na temelju objektivnih metoda i subjektivnog dojma roditelja bolesnika. Materijali i metode: Proveli smo retrospektivnu studiju rezultata 5-godišnjeg liječenja 47-ero bolesnika sa sindaktilijom ili polidaktilijom šaka putem telefonske ankete. Ukupan odaziv na telefonsku anketu iznosio je 68%. Rezultati: Tridesetero ispitanih roditelja (94%) nije navelo nikakve funkcijske tegobe, dok je dvoje (6%) navelo kako njihova djeca imaju poteškoća s pisanjem. Osmero roditelja djece (25%) navelo je slabiju pokretljivost operiranih prstiju, od čega dvoje (6%) ima poteškoća u adaptaciji na svakodnevni život. Šestero roditelja (19%) nije zadovoljno s izgledom ožiljka, a njih dvoje (6%) je tražilo drugo mišljenje u drugim ustanovama. Rasprava i zaključak: Roditelji djece s palčanom polidaktilijom šake naveli su najlošije rezultate što se tiče poslijeoperacijske pokretljivosti prstiju. Taj je rezultat konzistentan s dostupnom literaturom. Zadovoljstvo bolesnika u velikoj je mjeri ovisilo o izgledu poslijeoperacijskog ožiljka.Outcomes of surgical treatment of hand syndactyly and polydactyly in childhood can be measured by objective methods or by subjective impression of the patient’s parents. We performed a 5-year retrospective study of the treatment of 47 patients with either syndactyly or polydactyly of the hands over a telephone questionnaire. Response rate to the questionnaire was 68%. Thirty (94%) parents did not report any kind of functional impairment, whereas two (6%) parents stated that their children had diffi culties while writing. Eight (25%) parents described stiff ness of the operated fi ngers, of which only two (6%) had diffi culties in adjustment to everyday life. Parents of six patients (19%) were not satisfi ed with the scar and two (6%) parents had sought second opinion in another hospital. Parents of the patients in whom we had performed correction of radial polydactyly reported worst results in terms of stiff - ness of the fi ngers, which is consistent with the available literature data. The satisfaction of patient’s parents largely depends on the surgical scar appearance

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