Polydactyly in Infants: When and Where to Seek Treatment - Orthopedics

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Polydactyly, a condition characterized by the presence of extra fingers or toes, is a congenital anomaly that can occur in infants. If you suspect that your baby has polydactyly, it is essential to seek medical advice to determine the best course of action.

When to Seek Treatment
The timing for seeking treatment for polydactyly can vary based on several factors, including the complexity of the condition, the functionality of the extra digits, and the overall health of the child. Generally, it is advisable to consult a pediatrician or a pediatric orthopedic surgeon soon after the diagnosis is made. This is particularly important if the extra digits are causing functional issues, such as difficulty grasping objects or walking, or if they are associated with other syndromic conditions.

In many cases, surgery to remove the extra digits can be performed when the child is between 6 months to 1 year old. This timing is often preferred because the child is still young enough to recover quickly, and the surgery can be performed before the child begins to develop motor skills that may be affected by the extra digits. However, the specific timing should be discussed with a healthcare provider who can assess the individual case.


Where to Seek Treatment
In terms of where to seek treatment, you should look for a pediatric orthopedic surgeon or a specialist in congenital hand and upper limb surgery. These specialists have the expertise to evaluate the condition and recommend the best treatment options. If you are located in the Nangang area, you may want to consider hospitals or clinics that have a pediatric orthopedic department.
Some reputable hospitals in northern Taiwan include:
1. Taipei Medical University Hospital - Known for its comprehensive pediatric services.

2. National Taiwan University Hospital - Offers specialized care in pediatric orthopedics.

3. Chang Gung Memorial Hospital - Has a dedicated team for congenital hand and limb conditions.

You can also ask your pediatrician for recommendations, as they may have connections with specialists who have experience treating polydactyly.


Additional Considerations
When considering surgery for polydactyly, it is essential to discuss the potential risks and benefits with the surgeon. The surgeon will evaluate the anatomy of the extra digits, their functionality, and any associated conditions that may affect the surgical outcome.
Post-operative care is also crucial. After surgery, your child may require physical therapy to help regain strength and function in the hand or foot. The recovery process can vary, but with appropriate care, most children can achieve good functional outcomes.

In summary, if your baby has polydactyly, it is advisable to consult a pediatrician or a pediatric orthopedic surgeon as soon as possible. They will guide you on the appropriate timing for surgery and provide recommendations for specialists in your area. Early intervention can lead to better functional outcomes and help your child develop normally.