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Revista Portuguesa de Ortopedia e Traumatologia
versão impressa ISSN 1646-2122versão On-line ISSN 1646-2939
Resumo
PASCOAL, Diogo et al. Polidactilia das mãos e pés: Caso clínico raro. Rev. Port. Ortop. Traum. [online]. 2018, vol.26, n.3, pp.245-252. ISSN 1646-2122.
Simultaneous polydactyly of the hands and feet is a rare congenital deformity. The authors present a clinical case of a patient with bilateral pre-axial polydactyly of the hands, and bilateral central polydactyly of the feet associated with hallux varus and cleft foot. Surgical correction was performed. At 3 years of age, we have performed bilateral surgical ablation of the distal 2/3 of the supranumerary ulnar thumb. At 6 years of age, the patient underwent bilateral valgization wedge osteotomy of the first metatarsus and closure of the first interdigital space by ligamentotaxis. The patient did not have surgical complications and at 6 years of follow-up presents a good function of the hands and feet. The treatment strategy of polydactyly should always be adapted and personalized for each patient, in order to achieve the best balance between a good functional and aesthetic result.
Palavras-chave : polydactyly; pre-axial; central; hands; foot.