It is a congenital (present at birth) hand deformity where the radius bone in the forearm is missing or underdeveloped, causing the hand to be bent laterally (radially deviated). Soft tissue, bones and underlying muscle (Radius, radial carpus, thumb, tendons, ligaments, muscles, nerves and blood vessels) can all be involved
Small or absent thumb Lateral (radial) deviation of the hand Short forearm with reduced passive wrist motion Lateral skin deficiency with relative excess on the medial side Flexion contracture and stiffness of the radial digits
Based on age, severity and degree of functional deficit, surgery usually performed around 12 months. Physiotherapy and splintage should start few weeks after birth Surgical procedures are centralisation/ radialisation of hand
Reconstruction of thumb by shortening and rotating the index finger (pollicization) and reconstruction of deficient tendons and ligament (UCL, FPL, EPL etc.)
Outcome depends on the location and size of the fistula and status of surrounding tissues. Although most of the fistula closes after the surgery, some may recur and requires further surgery.
It usually takes less time than the original hypospadias repair and completes in less than an hour.
The surgery is performed under general anaesthesia and as a day care procedure. Patient can go home the same day after recovery from anaesthesia.
The most common complication is recurrence of the defect. Others complications include infection, difficulty in urination and stricture formation
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