Study of Functional and Aesthetic Outcomes After Wassel IV Thumb Duplication Surgery in Pediatric Population, With a Follow-up of at Least One Year
NCT ID: NCT06377670
Last Updated: 2024-04-22
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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NOT_YET_RECRUITING
30 participants
OBSERVATIONAL
2024-04-25
2024-05-15
Brief Summary
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Detailed Description
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Previous studies have highlighted the complexity of the surgical management of Wassel IV thumb duplication, underscoring the need for an individualized approach for each case. Early interventions are often recommended to optimize long-term functional and aesthetic outcomes.
The field of study for evaluating these outcomes focuses on the analysis of the medium and long-term consequences of surgical interventions in children with this malformation. Evaluation criteria may include hand functionality, thumb mobility, overall aesthetics, and other aspects relevant to the quality of life of the affected pediatric patients. This medium and long-term approach offers crucial insights for refining treatment protocols and improving the overall management of this condition.
Conditions
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Study Design
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OTHER
RETROSPECTIVE
Study Groups
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Wassel IV Thumb Duplication Cases
This group consists of pediatric patients who have undergone surgical correction for Wassel IV thumb duplication. All participants have had a minimum of one year post-operative follow-up. This cohort will be assessed for functional and aesthetic outcomes using the Japanese Society for Surgery of the Hand (JSSH) scoring method. This includes evaluating thumb mobility, functionality, global aesthetics, and other quality of life aspects for each patient using their contralateral healthy thumb as a control. Data will be collected on preoperative metacarpophalangeal angle, type of skin flap used, surgical reconstruction technique, immobilization method, postoperative complications, and patient satisfaction with surgery and daily pain levels.
Wassel IV Thumb Duplication Surgery
This intervention involves the surgical correction of Wassel IV thumb duplication, which is a congenital hand anomaly. The study retrospectively evaluates the outcomes of various surgical techniques that have been employed to correct this condition, with a focus on functionality and aesthetics of the thumb post-surgery. Data collected post-intervention include preoperative metacarpophalangeal angle, type of skin flap, surgical reconstruction technique, immobilization method, and postoperative complications. Additionally, patient satisfaction and daily pain levels are assessed using standardized questionnaires. Each patient serves as their own control, with outcomes compared to their contralateral healthy thumb.
Interventions
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Wassel IV Thumb Duplication Surgery
This intervention involves the surgical correction of Wassel IV thumb duplication, which is a congenital hand anomaly. The study retrospectively evaluates the outcomes of various surgical techniques that have been employed to correct this condition, with a focus on functionality and aesthetics of the thumb post-surgery. Data collected post-intervention include preoperative metacarpophalangeal angle, type of skin flap, surgical reconstruction technique, immobilization method, and postoperative complications. Additionally, patient satisfaction and daily pain levels are assessed using standardized questionnaires. Each patient serves as their own control, with outcomes compared to their contralateral healthy thumb.
Eligibility Criteria
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Inclusion Criteria
* Pediatric patients aged between 1 and 18 years
* Minimum of one year post-operative follow-up
* Availability of radiographic, photographic, and medical data
* Regular post-operative medical follow-up with the referring surgeon
* Legal guardian and patient consent (non-opposition) to participate in the study
Exclusion Criteria
* Opposition from legal guardians or from the patient to participate in the study
1 Year
18 Years
ALL
No
Sponsors
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University Hospital, Grenoble
OTHER
Responsible Party
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Central Contacts
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References
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Dautel G, Perrin P. Use of an Axial Flap to Increase the Girth of Wassel IV Thumb Reconstructions. J Hand Surg Am. 2015 Jul;40(7):1327-32. doi: 10.1016/j.jhsa.2015.02.032. Epub 2015 Apr 16.
Luangjarmekorn P, Virojanawat N, Pongpacharaamphon P, Kitidumrongsook P. Preoperative angulation as a predictor for operations of Wassel type IV polydactyly. J Pediatr Orthop B. 2021 Nov 1;30(6):605-610. doi: 10.1097/BPB.0000000000000806.
Dijkman R, Selles R, van Rosmalen J, Hulsemann W, Mann M, Habenicht R, Hovius S, van Nieuwenhoven C. A clinically weighted approach to outcome assessment in radial polydactyly. J Hand Surg Eur Vol. 2016 Mar;41(3):265-74. doi: 10.1177/1753193415601336. Epub 2015 Aug 28.
Kayalar M, Gurbuz Y, Kucuk L, Sugun TS, Ademoglu Y, Ozaksar K. Surgical reconstruction in Wassel type IV thumb duplication. Acta Orthop Traumatol Turc. 2014;48(2):181-6. doi: 10.3944/AOTT.2014.13.0042.
Other Identifiers
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38RC24.0012
Identifier Type: -
Identifier Source: org_study_id
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