[cs_content _p=’3168′][cs_section parallax=”true” separator_top_type=”none” separator_top_height=”50px” separator_top_inset=”0px” separator_top_angle_point=”50″ separator_bottom_type=”none” separator_bottom_height=”50px” separator_bottom_inset=”0px” separator_bottom_angle_point=”50″ _bp_base=”4_4″ _label=”Section 2″ bg_pattern=”https://reconstructivesurgerytrials.net/wp-content/uploads/2019/11/polydactyly.jpg” style=”margin: 0px;padding: 45px 0px;”][cs_row inner_container=”true” marginless_columns=”false” _bp_base=”4_4″ _label=”Row 1″ style=”margin: 0px auto;padding: 0px;”][cs_column fade=”false” fade_animation=”in” fade_animation_offset=”45px” fade_duration=”750″ _bp_base=”4_4″ _label=”1/1″ type=”1/1″ style=”padding: 0px;”][x_gap size=”150px”][/cs_column][/cs_row][/cs_section][cs_section parallax=”false” separator_top_type=”none” separator_top_height=”50px” separator_top_inset=”0px” separator_top_angle_point=”50″ separator_bottom_type=”none” separator_bottom_height=”50px” separator_bottom_inset=”0px” separator_bottom_angle_point=”50″ _bp_base=”4_4″ _label=”Section 1″ style=”margin: 0px;padding: 0px;”][cs_row inner_container=”true” marginless_columns=”false” _bp_base=”4_4″ _label=”Row 1″ style=”margin: 0px auto;padding: 0px;”][cs_column bg_color=”#ffffff” fade=”false” fade_animation=”in” fade_animation_offset=”45px” fade_duration=”750″ _bp_base=”4_4″ _label=”2/3″ type=”2/3″ class=”cs-ta-left” style=”padding: 0px;”][x_gap size=”20px”][x_custom_headline level=”h2″ looks_like=”h3″ accent=”false”]LINEUP[/x_custom_headline][cs_text _bp_base=”4_4″]A national study of the treatment of post axial polydactyly in children [/cs_text][cs_text _bp_base=”4_4″]

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Study overview
LINEUP is a national service evaluation supported by the University of Oxford, Reconstructive Surgery Trials Network and the British Society for Surgery of the Hand. Post axial polydactyly is one of the most common congenital hand conditions but there is no clear consensus on treatment. This multi centre study aims to identify how it is currently treated and identify the priorities of parents and families. This work also aims to establish if it is possible, practical and acceptable to patients’ families to undertake a randomized control trial of treatment for this condition.

Several treatment methods are described: (1) ligation at the base of the digit (2) early clinic-based excision under local anaesthesia (2) formal excision in an operating room under local or general anaesthesia.

Ligation is the use of suture or clip at the base of the digit, with excise the digit following this, or leave the digit to auto-amputate. Ligation is a traditional method of removing digits, but concerns about the risk of a residual stump or nubbin, or amputation neuroma formation have prevented some surgeons from using this treatment.

By comparison, surgical excision and can be undertaken in a clinic or operating room, but requires a full procedure to be undertaken. If undertaken in an operating room, this may include removing the child from their families.

This work will identify what is treatment currently undertaken, and collect family perceptions surrounding their care.

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[/cs_text][/cs_column][cs_column fade=”false” fade_animation=”in” fade_animation_offset=”45px” fade_duration=”750″ _bp_base=”4_4″ _label=”1/3″ type=”1/3″ style=”padding: 0px;”][x_gap size=”20px”][x_image type=”none” src=”5328:full” alt=”” link=”false” href=”#” title=”” target=”” info=”none” info_place=”top” info_trigger=”hover” info_content=””][x_accordion][x_accordion_item title=”Status” open=”true” ]National service evaluation[/x_accordion_item][x_accordion_item title=”Team” open=”false” ]

Max Horwitz (Consultant Lead)
Jennifer Lane (Trainee Lead)
Shiraz Shafi
Konstantinos Devetzis
Justin Wormald
Ryo Yoshimura
Andrea Jester
Dean Boyce
Monica Silva
Abbie Mason-Woods

[/x_accordion_item][x_accordion_item title=”Funding” open=”false” ]None[/x_accordion_item][x_accordion_item title=”Contact” open=”true” ]rstn.lineuptrial@gmail.com[/x_accordion_item][/x_accordion][/cs_column][/cs_row][/cs_section][/cs_content]