Generally speaking, the evaluation of surgical indicators should be judged from the perspective of function and aesthetics.
If the patient mostly refers to postpartum existence, it will affect the development of fine movements behind the child, and the sooner the better.
If it has little effect on the child's hand function and only affects the aesthetic feeling of the hand, it can actually wait until the child is over 2 years old. After all, surgery requires general anesthesia. For safety, it's better to be bigger.
Syndactyly can be divided into complete or incomplete syndactyly and simple or complex syndactyly. Complete syndactyly refers to the connection from web to fingertip, while incomplete syndactyly refers to the connection from web to fingertip. Simple syndactyly means that only skin or other soft tissues are connected together, while complex syndactyly means using bony structures.
You need to wait until the right age to have the operation. During the waiting period, parents should be encouraged to massage their fingers and stretch the skin between them, which is beneficial to the later operation. The best time for surgery is about one and a half years old, and try not to exceed preschool, so as not to cause psychological obstacles to children. For syndactyly that will seriously affect bone development, surgery can also be performed in advance, and of course, the risk of anesthesia needs to be evaluated.
Generally speaking, as long as the baby has no other diseases, it can be operated in about 6 months. Why do you say as soon as possible? The reason is that the child is younger, and it is easier to recover after surgery, reducing the risk of complications.
If you have any questions about syndactyly/polydactyly, you can trust me personally: Dr. Zhou Haiding.
Any age is fine.
Multi-fingered fingers can be divided into many types according to the different positions of redundant growth, and the treatment time of different types is also different. Generally, simple fingers can be treated in 3-6 months, and more complicated ones are recommended to be treated at about one year old. No matter what type of polydactyly, it is recommended to treat it at the best treatment time. If it is in the later stage, polydactyly will absorb nutrients from normal fingers for a long time and seize the growth and development space of normal thumb, which will easily lead to the tiny development and abnormal bending of fingers, thus increasing the difficulty of operation and the pain of children.
When is the best operation?
This depends on the situation. If the fingers are fleshy, theoretically, the extra fingers can be removed at any time.
For fingers with fully developed bones, it is recommended that children be older. Usually between six months and one and a half years old. The main one is that children are more resistant when they are older, more tolerant of the trauma of surgery and anesthesia, and better postoperative care; Second, the child is too young, many tissues are not well developed, and it is difficult to distinguish during surgery, which makes surgery unnecessary. It's not impossible to go to school later, even at school age, but at this time, children should use their hands and have more contact with the outside world. Deformity will not only cause dysfunction, but also bring psychological problems. At present, anesthesia and surgical techniques are very mature, and it is not necessary to wait until preschool or when the children are older.
Thank you for inviting Wukong.
Go to the hospital for examination.
My neighbor's son also has two hands connected, but his thumb is separated. Then I had surgery when I was like one year old. I seem to have divided it twice, but I still asked the hospital specifically.
Polydactyly is a common congenital malformation in infant hand deformity. Your situation should be that your fingers are together and there are seven kinds of fingers. Generally, redundant phalanges are not bent. It is recommended to operate for 3-6 months.
Excess bone is too large or bending deformity occurs, and the function of the main finger is poor. It is suggested that the operation time should be from half a year to one year.
Syndactyly can be divided into complete syndactyly and incomplete syndactyly For incomplete syndactyly, it is recommended to operate for 3-6 months, and for complete syndactyly, it is best to operate between six months and one year old.
Fingers are a little more than others, which is called "congenital polydactyly" in medicine. Like syndactyly, it is a major disease that puzzles people and erodes people's body and mind.
Polydactyly is a common congenital malformation in children, also known as repeated finger deformity, which refers to redundant fingers except normal fingers, phalanges of fingers, simple soft tissue components or metacarpals. , most common next to the thumb. Among them, polydactyly is the most common.
Multi-fingered, when is the best time for children to have surgery?
Many parents consider that their children are still young and can't bear to let them have surgery too early. Some parents even think that it doesn't matter if a child has one more finger, but as the child grows older, when self-esteem "breeds", in order not to expose his "shortcomings" to others and not to make people laugh, he holds his finger in his fist for a long time.
Take a look: finger surgery should be done sooner rather than later.
If the baby at home is found to have multiple fingers at birth, he should go to the hospital as soon as possible to consult a professional doctor, choose the right time for surgery, and carry out rehabilitation training to minimize the impact on the child. Because children with polydactyly, with the growth and development of bones and joints, functional fingers are occupied and squeezed by redundant fingers, and the deformity will gradually increase, resulting in dysfunction. By the time this deformity develops to older children and even adults, the bones and joints have been shaped, and the deformity has been difficult to correct.
The treatment of polydactyly usually involves polydactyly excision, but does simple excision solve the problem? The answer is no.
At the same time, the time and method of operation are different for different types of polydactyly. According to clinical data, the optimal operation time for finger deformities in infants is 1-3 years old. If the age is too young, the abnormal tissue structure and function are difficult to identify, which may lead to postoperative residual deformity; If the operation age is too large, the operation can directly affect the normal finger function and even cause dysfunction.
Surgery is different according to the complexity of the disease. Some of them are very simple, and the extra fingers (toes) can be removed from the basal pedicle and then the wound can be shaped and sutured; Some of them are more complicated, besides cutting off multiple fingers, they also need osteotomy, tendon transfer and joint function reconstruction.