Congenital Hand Abnormalies
These come in various forms from overgrowth to undergrowth and from absence of the digits to extra digits.
Surgery is usually the best option. In thumb duplications, correction improves the function and appearance.
In absence of the digits, toe transfers will improve the function of the hand but will never improve the cosmesis. We overcome this with prosthesis.
Absence of the fingers
Figure D: Left hand with absence of all 4 fingers.
Figure E: 3 years after double toe transfers. Function of the hand greatly improved.
Figure F: Feet where the toes were harvested.
Hypoplastic thumb
Figure G: Before surgery and Figure H: Splinting after surgery
Figure I: 6 months and Figure J: Function of the reconstructed thumb