RESUMEN
BACKGROUND: There is an evident lack of research on timing of polydactyly surgery and its effects on treatment results. METHODS: Retrospective comparative study on foot polydactyly patients treated at our department from 1995 to 2009. Patients were divided into 2 groups, group A - under the age of 5 at surgery, and group B - 5 years and older. RESULTS: There were 24 patients (8 male, 16 female), 30 feet. Median age at surgery was 1 year (range, 9 months-4.5 years) for group A, and 8.5 years (range, 6-37 years) for group B. Median follow-up was 16.2 years (range, 7-21 years). There were 16 postaxial and 8 preaxial cases. At the last follow-up 12 patients' feet were "excellent" and 12 "good". No significant differences were identified between the two groups at final follow-up. CONCLUSIONS: Timing of surgery for foot polydactyly is not crucial for final results.
Asunto(s)
Deformidades Congénitas del Pie/cirugía , Polidactilia/cirugía , Dedos del Pie/anomalías , Adolescente , Adulto , Factores de Edad , Niño , Preescolar , Femenino , Deformidades Congénitas del Pie/diagnóstico por imagen , Deformidades Congénitas del Pie/rehabilitación , Humanos , Lactante , Masculino , Polidactilia/diagnóstico por imagen , Polidactilia/rehabilitación , Recuperación de la Función , Estudios Retrospectivos , Factores de Tiempo , Dedos del Pie/diagnóstico por imagen , Dedos del Pie/cirugía , Resultado del Tratamiento , Adulto JovenRESUMEN
No disponible
Asunto(s)
Humanos , Masculino , Femenino , Recién Nacido , Cilios/química , Cilios/metabolismo , Hipotonía Muscular/complicaciones , Hipotonía Muscular/diagnóstico , Polidactilia/complicaciones , Polidactilia/diagnóstico , Cilios/enzimología , Cilios/patología , Hipotonía Muscular/congénito , Hipotonía Muscular/patología , Polidactilia/patología , Polidactilia/rehabilitaciónRESUMEN
INTRODUCTION AND AIMS: Mirror-foot abnormalities are distinctly uncommon entities and represent extreme forms of congenital duplication. We present a reflection on three different cases of mirror foot and discuss their surgical management. PATIENTS AND METHODS: The first patient had a right-sided mirror foot with a central great toe and three complete medial rays. The second patient had quadruplication of the left great toe ray. The third had a full complement of metatarsals associated with two extra complete rays placed medial to the great toe of the right foot. All patients underwent complex ray resection and concurrent reconstruction of the medial arch of foot. All three cases of mirror foot presented and were operated on in the pre-ambulatory period. RESULTS: All three patients recovered with good functional and aesthetic results. Follow-up duration ranged from 3 to 5 years. CONCLUSION: Surgical treatment of the mirror foot is less complicated than that of its upper limb equivalent. Essentially, there must be an initial surgical reduction in the number of digits, coupled with tendon transfers as necessary to maintain foot arches.
Asunto(s)
Deformidades Congénitas del Pie/cirugía , Polidactilia/cirugía , Dedos del Pie/anomalías , Femenino , Deformidades Congénitas del Pie/rehabilitación , Marcha , Humanos , Lactante , Masculino , Procedimientos Ortopédicos , Polidactilia/rehabilitaciónRESUMEN
Eleven cases of congenital anomalies were identified in 210 (5%) juvenile northern elephant seals (Mirounga angustirostris) found stranded along the central California (USA) coast from 1 January 1988 to 31 December 1995. Seven individuals had mild-to-moderate hydrocephalus involving the lateral ventricles bilaterally, or the lateral and third ventricles. Two animals had severe cardiac anomalies: hypoplasia of the right ventricle with overriding aorta, and ventricular septal defect. Other anomalies included single cases of hydronephrosis, focal pulmonary dysplasia, and congenital epidermal angiomatosis. Common intercurrent disease processes were verminous pneumonia and arteritis, verminous enteritis and coliti, and splenic and hepatic hemosiderosis. The more severe anomalies were considered to be the cause of debilitation and stranding. Milder anomalies were found incidentally during routine gross necropsy and histopathologic examination.
Asunto(s)
Phocidae/anomalías , Angiomatosis/epidemiología , Angiomatosis/patología , Angiomatosis/veterinaria , Animales , California/epidemiología , Anomalías Congénitas/epidemiología , Anomalías Congénitas/patología , Anomalías Congénitas/veterinaria , Femenino , Cardiopatías Congénitas/epidemiología , Cardiopatías Congénitas/patología , Cardiopatías Congénitas/veterinaria , Hidrocefalia/epidemiología , Hidrocefalia/patología , Hidrocefalia/veterinaria , Hidronefrosis/epidemiología , Hidronefrosis/patología , Hidronefrosis/veterinaria , Pulmón/anomalías , Pulmón/patología , Masculino , Polidactilia/epidemiología , Polidactilia/rehabilitación , Polidactilia/veterinaria , Enfermedades de la Piel/epidemiología , Enfermedades de la Piel/patología , Enfermedades de la Piel/veterinariaRESUMEN
La polidactilia por su caracter iregular en la conformaciòn fìsica del individuo, provoca situaciones de complejidad psìquica y social, por tanto el tratamiento es exclusivamente quirurgico, recomendandose de preferecncia en la primera infancia, por facilitar al acto quirurgico la falta de organizacion osea u articular completa en este estado de la vìda del ser. Al preceder a su extirpacion se debe tener en cuenta las particularidades del defecto y sus consecuencias biologicas para el sujeto. Los casos reales y objetivos acumulados en el presete trabajo, solo han resultado afectar a las extremidades inferiores