EXAMINATION OF HAND FUNCTION WITH ACROCEPHALOSYNDACTYLY USING INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY AND HEALTH
The aim of this study was to determine the criteria and evaluation of disability in patients with acrocephalosyndactyly before and after surgery. Methods: the results of surgical treatment in 19 children with acrocephalosyndactyly in the age of 8 months to 18 years (72 surgeries were performed) were analyzed. The International Classification of Functioning, Disability and Health was used to examine the hand function before and after surgery. Criteria and estimation of life restrictions before and after finger separation and finger deformation correction were determined. In most cases before surgery, the patients had heavy and absolute deficiency of hand muscle force in either isolated muscles or muscular groups, changes in structure and difficulties in hand use. Results: when estimating the surgical treatment remote results, positive outcome were registered in 18 (95%) of 19 cases. Bilateral grip formation gave our patients the opportunity of easy and moderate difficulties of hand function derangement.