The apert hand: angiographic planning of a single-stage, 5-digit release for all classes of deformity

Isaac Harvey, Scott Brown, Oliver Ayres, Timothy Proudman

Research output: Contribution to journalArticlepeer-review

15 Citations (Scopus)

Abstract

Purpose: To demonstrate the utility of computed tomography angiographic planning of a single-stage, complete release of syndactyly in Apert syndrome. 

Methods: Computed tomography angiograms were performed as a preoperative planning tool in 6 patients. Five came to surgery. All had a single-stage operation for complete release of their syndactyly. 

Results: Five patients, ranging from Upton type 1 to type 3 Apert hand deformities, have had preoperative computed tomography angiography that delineated the vascular anatomy. This allowed planning and execution of a single-stage syndactyly release in all patients. The preoperative imaging identified noteworthy abnormalities in vascular anatomy that were incorporated into surgical planning. 

Conclusions: The protocol presented allows preoperative planning and single-stage operation for complete release of syndactyly in patients with Apert syndrome.

Original languageEnglish
Pages (from-to)152-158
Number of pages7
JournalJournal of Hand Surgery
Volume37
Issue number1
DOIs
Publication statusPublished - Jan 2012
Externally publishedYes

Keywords

  • Angiography
  • Apert
  • single stage
  • syndactyly
  • vascular

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