Surgical approach for treatment of pedunculated ulnar polydactyly: our experience

Background Pedunculated ulnar polydactyly type II(A) variety has been treated with ligature of pedicle, but surgical excision of the accessory digit with high transection and retraction of the accompanying accessory digital nerve may prevent the complications associated with suture ligation. In order to assess the efficacy of surgical excision of pedunculated ulnar type II(A) polydactyly, the current study was undertaken. Methods From June 2007 to May 2008, all patients with bilateral pedunculated type II(A) ulnar polydactyly attending the surgery department were treated with excision of the accessory digit and high transection and retraction of supernumerary digital nerve. Patients were regularly followed up postoperatively up to 2 years to assess any complication. Results Ten patients were included in the study. The age ranged from 6 months to 3 years. There was one case of wound infection successfully managed with antibiotics. No other complications like painful neuroma and postoperative bumps or nubbins were detected during the follow-up. Conclusion The surgical approach seems to be the treatment of choice for pedunculated ulnar polydactyly and can be performed effectively and safely with negligible rate of complications.