Bilateral postaxial polydactyly type a with syndactyly in an adult female managed with excision and syndactyly release using full-thickness skin graft from the supernumerary digit
- MOJ Orthopedics & Rheumatology
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Harshit Jain,<sup>1</sup> Dr Vijender Rawal,<sup>2</sup> Mohit Jindal,<sup>3</sup> Nitesh Saini,<sup>1</sup> Ashish Pargaie<sup>1</sup>
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Abstract
Background: Polydactyly is one of the most common congenital anomalies of the hand with an incidence of approximately 1 in 500–1,000 live births.1,2 Bilateral postaxial polydactyly with syndactyly presenting in adulthood is rare. Case presentation: A 19-year-old female presented with bilateral postaxial polydactyly type A with syndactyly between ring and little fingers of both hands since birth. Management and outcome: Excision of supernumerary digits with Z-plasty syndactyly release and full-thickness skin grafting from the excised digit was performed with excellent functional and cosmetic outcome. Conclusion: A rare adult presentation successfully managed using tissue from the supernumerary digit itself.
Keywords
postaxial polydactyly, syndactyly, congenital hand anomaly, z-plasty, fullthickness skin graft
