Polydactyly Single Simple

Polydactyly single simple

Single simple polydactyly is the presence of one additional finger or toe which is small; soft-tissue based and is not attached to bone or joints. It is the most frequent and the least complicated type of polydactyly.

What does Single Simple Polydactyly mean?

• An inborn (at birth) disorder.
• Extra digit is commonly pedunculated (fixed on a slender stalk of skin)
• No bone, tendon, and joint involvement.
• It mostly involves the little finger side (postaxial) of the hand or foot.

Simple polydactyly treatment

Simple polydactyly is an extra finger or toe composed of soft tissue (without bone or joint attachment). The diagnosis is easy and the therapy is very effective.

Treatment Options:

Suture Ligation (Most Common)

Best for:

• Extra digit Narrow stalk (pedunculated).
• Newborns and early infancy

Procedure:

• A strand of tight suture or clip is used at the bottom of the extra digit.
• Blood supply is cut off
• The digit rapidly dries off in 3-10 days.

Advantages:

• Quick and simple
• No anaesthesia required
• Is able to be performed at either bedside or out-patient clinic.

Surgical Excision

Best for:

• Broad-based attachment
• Cosmetic concerns
• Unsuccessful or incomplete ligation.
• Residual nubbin or swelling

Procedure:

• Local or short-term general anaesthesia minor surgery.
• Added digit deleted entirely.
• Little absorbable stitches employed.

Advantages:

• Better cosmetic result
• Reduced chances of residual tissue or neuroma.

Timing of Treatment

• Ideally during the period of birth or early infancy.
• Surgery may be safely late also in case necessary.

Aftercare

• Keep area clean and dry
• Note redness, swelling or discharge.
• Basic dress wearing a few days.
• Recovery normally lasts 1-2 weeks.

Polydactyly single simple correction

Single simple polydactyly correction is a loss of one additional finger or toe composed of purely soft tissue, without any bone, joint or tendon participation. Correction is minor, safe and often carried out at an early date.

Indications for Correction

• Cosmetic appearance
• Parental preference
• Snagging, trauma or irritation prevention.
• Narrow or broad based soft-tissue digit.

Methods of Correction

Suture Ligation (Newborns)

Indicated for:

• Extra digit is petite and pedunculated.

Procedure:

• Suture or clip at the base.
• Blood supply cut off
• Auto-amputation of the digits occurs in 3-10 days.

Pros:

• No anaesthesia
• Uncomplicated outpatient surgery.

Excision (Definitive Correction): Surgery.

Indicated for:

• Broad-based attachment
• Cosmetic precision
• Failed ligation
• Older infants or children

Procedure:

• When done with local or short general anaesthesia.
• Additional digit deleted altogether.
• Ligature of nerves to avoid neuroma.
• Finally, skin sewn with fine absorbent sutures.

Pros:

• Best cosmetic outcome
• Low recurrence or tissue residue risks.

Timing

• Optimal during the neonatal period or during early infancy.
• Could be remedied at a later date in case of need without any loss of functionality.

Best hospital for simple polydactyly India

• Artemis Hospital, Gurgaon
• Medanta-The Medicity, Gurgaon
• Fortis Memorial Research Institute, Gurgaon
• Max Hospital, Saket

Conclusion

Single simple polydactyly is a not only simple but also benign and widely spread congenital anomaly that can be readily and safely corrected. Since the additional digit is solely made up of soft tissue and does not play any functional role, surgical intervention once the suture is ligated or excised through simple surgery is a good cosmetic outcome with minimum discomfort. With qualified personnel, the surgery has a very low risk of complication, it recovers fast, and it does not influence the functionality of a hand or foot or further development. The overall prognosis of a post-correction patient is excellent, and patients grow on to lead a normal life with no long-term problems.

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FAQ

1. Is it always necessary to be treated?

• The treatment is normally cosmetic and elective though it should be corrected at a tender age, to prevent trauma, snagging and cosmetic issues in future.

2. Is anaesthesia needed?

• Ligation is normally not anaesthetic. Local anaesthesia or short-term general anaesthesia may be required to excise the invasion surgically; both of them are safe when conducted correctly.

3. Will my child have pain following correction?

• The pain is usually mild and can be managed on an outpatient basis with simple analgesics.

4. Will there be a scar?

• Scarring is normally small or insignificant particularly when repaired at an early stage.

5. Is polydactyly recurring following correction?

• No. After being removed correctly, they do not reoccur.

6. Is there any impact of simple polydactyly on hand or foot?

• No. Simple polydactyly does not impact on function or development.