Comparative analysis of the effectiveness of the incision designs by Bayne and Evans in the correction of congenital radial clubhand in children

Abstract

Introduction. In 1733, Petit first described the deformation of the forearm, congenital radial clubhand. A large number of modifications in the surgical treatment of this deformation have been developed. In the available literature, there is no comparative analysis of the applied designs of the sections. Aim. The goal is a comparative analysis of the effectiveness of the use of dorsal rotation flap by Evans, and incision designs by Bayne, in the correction of congenital radial clubhand in children. Material and methods. Between 2013 and 2016, block randomization of 40 children with congenital radial clubhand was used and grouped by procedures. Surgical correction was performed using two different incision designs (the first group by Bayne and the second by Evans). The analysis of the early postoperative complications was performed. The evaluation in the late postoperative period of soft tissue condition of the forearm using a pinch test, Vancouver scale, and a visual analog scale was carried out. Results. Based upon gender, patients were divided with male predominance in both groups with 7 girls and 13 boys in the first group, and 8 girls and 12 boys in the second group. In the immediate postoperative period, marginal necrosis was observed in the first group (35%). In the late postoperative period, the study showed an advantage of using dorsal rotation flap by Evans versus the incision designs by Bayne. Conclusion. Using incision designs by Evans with the formation of a dorsal rotation flap provided a more aesthetic and functional result.