About Cleft Hand Surgery
Key Highlights
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Improves hand function and grip strength for daily activities.Enhances cosmetic appearance, reducing social stigma.Corrects the central cleft and reconstructs a more normal web space.Often performed in early childhood to adapt to growth and development.Can address associated issues like thumb abnormalities or syndactyly (fused fingers).Aims to provide a stable, functional hand for long-term use./ul
Who is this surgery for?
- Congenital cleft hand (ectrodactyly) with a significant central V-shaped defect.
- Functional impairment affecting grasp, pinch, or bimanual activities.
- Cosmetic concerns impacting the child's psychosocial well-being.
- Associated anomalies like thumb hypoplasia (underdevelopment) or syndactyly.
- A deep, wide cleft that collects debris or causes skin maceration.
- The procedure is typically indicated when the child is medically stable, usually between 6 months and 2 years old.
How to prepare
- Comprehensive evaluation by a pediatric orthopedic surgeon and possibly a hand therapist.
- Detailed imaging studies, such as X-rays, to assess bone structure and plan surgery.
- Pre-operative blood tests and a general health check to ensure fitness for anesthesia.
- Discussion with the family about surgical goals, expectations, and the recovery process.
- Instructions on fasting (no food or drink) for a specified period before surgery.
- Planning for post-operative care, including potential casting and therapy needs.
Risks & possible complications
- Standard surgical risks: reaction to anesthesia, bleeding, or infection.
- Poor wound healing or scarring.
- Stiffness or reduced range of motion in the fingers or wrist.
- Nerve or blood vessel injury, leading to numbness or circulation issues.
- Need for additional surgeries due to incomplete correction or growth-related changes.
- Persistent deformity or suboptimal functional outcome.
Recovery & hospital stay
- Hospital stay is typically short, often 1-2 days for pain management and initial monitoring.
- The hand will be placed in a protective cast or splint for several weeks to protect the reconstruction.
- Pain is managed with prescribed medications.
- Stitches are usually removed in 10-14 days.
- Once the cast is removed, a structured hand therapy program is crucial to regain movement, strength, and function.
- Regular follow-up visits with the surgeon are needed to monitor healing and long-term outcomes as the child grows.
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Typical hospital stay: 1-2 days
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Expected recovery time: 4-6 weeks for initial healing, with full functional adaptation over several months
Frequently Asked Questions
If you are considering cleft hand surgery in India, these questions and answers can help you make a confident, informed decision.
Top-rated hospitals in India with pediatric orthopedics departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform cleft hand surgery. MediFyr helps you compare pediatric orthopedics and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for cleft hand surgery compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 120 Thousand – 350 Thousand | 1-2 days | ~ 4-6 weeks for initial healing, with full functional adaptation over several months | Know More |
| Turkey | TRY 420 Thousand – 1.23 Million | 1-2 days | ~ 4-6 weeks for initial healing, with full functional adaptation over several months | Know More |
Sophia Saxena is a bright-eyed 18-month-old...
Sophia Saxena is a bright-eyed 18-month-old from a small town. Her parents, first-time and anxious, noticed her unique left hand at birth, her index and middle fingers were fused together, forming a 'V' shape, while her ring and pinky fingers were underdeveloped. While she adapted remarkably, using her thumb and fused fingers to grasp toys, her parents worried about future challenges with fine motor skills like writing or buttoning clothes. During a consultation with a pediatric orthopedic surgeon, they learned this was a 'cleft hand' or ectrodactyly. The doctor recommended a two-stage surgery: first to separate the fused fingers (syndactyly release) and later to possibly reconstruct the missing digits for better function and appearance. The first surgery at 20 months was emotionally taxing for her parents, but the surgical team was reassuring. Post-surgery, Sophia wore a soft cast and then a custom splint. After six weeks of gentle exercises and occupational therapy, she began to use her newly separated fingers independently. The emotional journey was profound: her parents moved from fear of societal stigma and her future to immense pride in her resilience. Seeing Sophia deliberately pick up a small raisin between her thumb and index finger for the first time, they wept with joy, confident she could tackle any task.
Pediatric Orthopedics for Cleft Hand Surgery
Explore experienced pediatric orthopedics who regularly perform cleft hand surgery and provide pre- and post-operative care in India.
- 14 Years Experience
- Pediatric Orthopedics
Manipal Hospital Ghaziabad, Ghaziabad
- 23 Years Experience
- Pediatric Orthopedics
Manipal Hospital Old Airport Road, Bangalore
- 8 Years Experience
- Pediatric Orthopedics
Manipal Hospital Mukundapur, Kolkata