Restoring The Function In Camptodactyly: A Focus On Distribution, Pathoanatomy And Stepwise Surgical Approach.
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2024-12
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Indian Society for Health and Advanced Research
Abstract
Introduction: Camptodactyly is a congenital flexion contracture of the proximal interphalangeal joints of the fingers, with an incidence of 1% . Despite various management strategies, achieving full functional restoration remains challenging. This study aims to evaluate the pathoanatomic structures involved in camptodactyly and assess the outcomes of a stepwise surgical approach to restore full passive extension. AMethods: retrospective review of 12 patients (5 males, 7 females) who underwent surgical treatment for camptodactyly at our institution between May 2022 and April 2023 was conducted. Inclusion criteria were patients with progressive flexion contractures greater than 30° and impaired function, simple or complex, from childhood to adolescence. A stepwise surgical technique was implemented, including skin and soft tissue release, flexor tendon tenotomy, volar plate release, and K-wire fixation. Postoperative management involved immobilization, scar massage, and passive motion therapy. Results: Of the 12 patients, 7 had simple camptodactyly and 5 had complex camptodactyly, with Windblown hand deformity and Arthrogryposis congenita. Surgical interventions led to significant improvements in flexion contracture, from a preoperative range of 30–90° to 0–40° postoperatively. Range of motion improved from 0–60° preoperatively to 50–90° postoperatively. Complications included soft tissue infections, skin graft loss, and digit stiffness, all managed with appropriate interventions. Camptodactyly, particularly with deformities greaterConclusion: than 30°, requires a comprehensive approach involving careful clinical evaluation, radiological investigation, and stepwise surgical correction. Complex cases, often presenting with bilateral involvement and deeper anatomical involvement, demand more intricate interventions. Further studies with longer follow-up are needed to refine treatment strategies and assess long-term outcomes
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JK Karthick, PS Ganesh Babu, S Sridevi. Restoring The Function In Camptodactyly: A Focus On Distribution, Pathoanatomy And Stepwise Surgical Approach.. International Journal of Scientific Research. 2024 Dec; 13(12): 37-39