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Congenital Limb Surgery

Congenital Limb Surgery

Also known as Meromelia Reconstruction

What is Congenital Limb Surgery?

Surprisingly, many upper extremity malformations cause little functional deficit. Children develop prehension with hands as they are, and they usually are not self-conscious of difference until they become socialized in school. In contrast, parents may be dismayed by the appearance of an anomalous hand and may be hoping that surgery can create a “normal” hand. The hand surgeon treating children with upper extremity anomalies must offer surgery to improve the child’s function and cosmesis, when possible, and counsel parents about what is and is not possible with surgery.

There are a multitude of congenital deformities that can occur in the feet. Some are very common and others are more remote. They can frequently be corrected with conservative care, such as splinting, casting, and various exercises over a period of time. Those that are not resolved by conservative measures can generally be surgically improved or corrected. A few conditions should be left for surgical resolution after maturity occurs.

What to expect during the Congenital Limb procedure?

Accurate understanding of the involved anatomy leads to better clinical results. Radiographs obtained after ossification of the involved bones allow for definitive treatment of the duplicated parts and all associated abnormalities. These types descriptions allow for earlier diagnosis and correction of this abnormality lead to better outcomes.

If the digit is better formed, a surgeon removes it in the operating room when your child is about 1 year old. This is done as a day surgery. Your child’s surgery will be based on their exact condition. More complex cases may require complex surgery. The surgery may involve carefully cutting through or around bones, ligaments, muscles, tendons and other tissues to remove the extra digit. Then the surgeon may need to move or reconnect some structures before closing the skin so the whole hand or foot works well and looks normal.

What to expect during the recovery for the Congenital Limb procedure?

After surgery, your child may need to wear a cast or splint on their hand or foot while it heals. The doctor will want your child to come back for follow-up visits to make sure they are healing well. Some children who have extensive surgery with cutting through many tissues may have occupational therapy to help with swelling, scarring and stiffness.

Examples of Congenital Limb Results:

Before and After of Congentital Hand Surgery

Before and After of Congentital Hand Surgery

Before and After of Congenital Foot Surgery

To find out more about available treatments and procedures, request a consultation with Dr. Moulton-Barrett at one of his Bay Area offices. Board certified plastic surgeon Rex Moulton-Barrett, M.D., offers advanced care and procedures for Bay Area residents. He has offices in Alameda and Brentwood, CA.

Our Clinics

Alameda Clinic

2070 Clinton Ave
Fourth Floor
Alameda, CA 94501

Phone  (510) 864-1800

Brentwood Clinic

1280 Central Blvd
Suite J-5
Brentwood, CA 94513

Phone  (925) 240-8775



Alameda Location:

2070 Clinton Ave, Alameda, CA 94501


Brentwood Location

1280 Central Blvd, Suite J-5, Brentwood, CA 94513