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Congenital clubhand: a clinical study in Cote D'Ivoire
Abstract
Background: Congenital clubhand has severe functional and aesthetic impact and requires complex cares.
Patients and Methods: From 1990-2004, a retrospective study of 29 congenital clubhands (20 patients) was performed at Yopougon teaching hospital and Don Orione Center, Bonoua, Cte d'ivoire. Data obtained from their hospital records reviewed. Radial and ulnar clubhands were classified according to Bayne & Klug and modified Swanson, respectively and patients were assessed the score of Cattaneo et al.
Results: There were 13 males and 7 females, aged 4 days-20 years (mean, 5.9 ± 6.6 years). We found 25radial defects in 16 patients and 4 unilateral ulnar defects. Fifteen radial clubhands were treated by osteotomy and centralization, 2 by centralizationalone and 8 by soft tissue release alone. Ulnar clubhands needed osteotomy. At 2 years of follow-up, functional results were good (75%) and fair (25%), while aesthetic results were good (60%) and fair (40%).
Conclusion: This treatment provided satisfied results and increased early children referral to our specialist centers.
Keywords: congenital clubhand, child
African Journal of Paediatric Surgery Vol. 2(1) 2005: 1-3
Patients and Methods: From 1990-2004, a retrospective study of 29 congenital clubhands (20 patients) was performed at Yopougon teaching hospital and Don Orione Center, Bonoua, Cte d'ivoire. Data obtained from their hospital records reviewed. Radial and ulnar clubhands were classified according to Bayne & Klug and modified Swanson, respectively and patients were assessed the score of Cattaneo et al.
Results: There were 13 males and 7 females, aged 4 days-20 years (mean, 5.9 ± 6.6 years). We found 25radial defects in 16 patients and 4 unilateral ulnar defects. Fifteen radial clubhands were treated by osteotomy and centralization, 2 by centralizationalone and 8 by soft tissue release alone. Ulnar clubhands needed osteotomy. At 2 years of follow-up, functional results were good (75%) and fair (25%), while aesthetic results were good (60%) and fair (40%).
Conclusion: This treatment provided satisfied results and increased early children referral to our specialist centers.
Keywords: congenital clubhand, child
African Journal of Paediatric Surgery Vol. 2(1) 2005: 1-3
