Our Summary

This research paper is about a study conducted on people with Apert syndrome, a condition where the fingers or toes are fused together, a condition known as syndactyly. The study looked at 48 patients who had surgery to separate their fused fingers. They were particularly interested in the separation of the 3rd web (the space between the middle and ring fingers) and whether delaying this surgery had any negative effects on the growth of certain bones in the hand.

The researchers found that delaying the separation of the 3rd web might affect the normal growth and positioning of some bones in the hand. However, they could not confirm that performing this surgery earlier would have been better. More research is needed to come to a solid conclusion. The study supports the idea that delaying the separation of the 3rd web might have negative effects, but more evidence is needed.

FAQs

  1. What is Apert syndrome and how does it affect the hands?
  2. What are the potential negative effects of delaying the separation of the 3rd web in the hand?
  3. Does the study conclude that performing the surgery earlier would be more beneficial for the patients?

Doctor’s Tip

One helpful tip a doctor might tell a patient about hand surgery is to follow post-operative instructions carefully to ensure proper healing and optimal outcomes. This may include keeping the hand elevated, performing prescribed exercises, attending follow-up appointments, and avoiding activities that could strain the hand during the recovery period. It is important to communicate any concerns or changes in symptoms to the doctor promptly.

Suitable For

Patients with conditions such as syndactyly, trigger finger, carpal tunnel syndrome, arthritis, tendonitis, fractures, nerve damage, and other hand injuries or deformities are typically recommended hand surgery. Hand surgery is usually recommended when conservative treatments such as medication, physical therapy, splinting, or injections have not provided relief or improvement in symptoms. Additionally, hand surgery may be recommended for patients who have difficulty performing daily activities or have impaired hand function due to their condition.

Hand surgery can help improve hand function, alleviate pain, correct deformities, restore mobility, and improve the overall quality of life for patients with various hand conditions. The decision to undergo hand surgery should be made in consultation with a hand surgeon who can evaluate the patient’s specific condition, discuss treatment options, and determine the most appropriate course of action.

Timeline

Before hand surgery:

  • Patient is diagnosed with Apert syndrome and is informed that they have fused fingers or toes
  • Patient undergoes consultations with a hand surgeon to discuss treatment options
  • Surgery is scheduled and patient prepares for the procedure, including any necessary pre-operative tests or evaluations

After hand surgery:

  • Patient undergoes surgery to separate the fused fingers
  • Patient experiences post-operative pain and swelling, and is given pain medication and instructions for wound care
  • Patient attends follow-up appointments with the hand surgeon to monitor healing and address any concerns
  • Patient undergoes physical therapy to regain strength and range of motion in the hand
  • Over time, the patient’s hand continues to heal and the separated fingers begin to function more normally
  • Patient may require additional surgeries or interventions in the future to address any remaining issues or complications

What to Ask Your Doctor

  1. What are the potential risks and complications associated with hand surgery for syndactyly?
  2. How long is the recovery process and what can I expect in terms of pain and discomfort?
  3. Will I need physical therapy or rehabilitation after the surgery?
  4. Are there any alternative treatments or non-surgical options for syndactyly?
  5. How will the surgery impact the function and mobility of my hand?
  6. Will I need additional surgeries or follow-up procedures in the future?
  7. What is the success rate of hand surgery for syndactyly, and what are the expected outcomes?
  8. Are there any specific precautions or lifestyle changes I need to make after the surgery?
  9. How will the surgery affect the growth and development of my hand bones in the long term?
  10. Are there any specific factors or considerations that apply to my individual case that I should be aware of?

Reference

Authors: Kracoff SL. Journal: J Hand Surg Asian Pac Vol. 2020 Mar;25(1):82-86. doi: 10.1142/S2424835520500113. PMID: 32000596