Resultados cirúrgicos do tratamento de crian?as portadoras de sindactilia operadas em sistema de mutir?o no {SOS} M?o Recife entre 2005 e 2009

摘要

ResumoObjetivo avaliar resultados e satisfa??o dos pais quanto ao tratamento de crian?as portadoras de sindactilia operadas entre 2005 e 2009 no Hospital {SOS} M?o Recife. Métodos foram coletados, nos prontuários, os dados para avalia??o dos resultados. Os escores subjetivos, verificados prospectivamente, foram: igual ou superior a 9, bom resultado; entre 6 e 8, resultado regular; abaixo de 6, mau resultado. Os resultados foram analisados estatisticamente. A pesquisa foi aprovada pelo Comitê de ética da Institui??o. Resultados dos 35 casos, 21 (60%) foram sindactilias simples e 14 (40%) complexas; 22 (62,8%) eram meninos e 13 (37,1%) meninas. Houve predominancia masculina nos casos complexos. As principais complica??es foram: infec??o (11,4%), sangramento (11,4%) e dor (8,6%). Ocorreram mais complica??es nos casos complexos (42,8%) contra 33,3% nos simples. A avalia??o subjetiva dos pais revelou: quanto à estética, média de 7,6, porém com média de 7,7 nos casos simples e 7,3 nos complexos; na fun??o, a média foi de 8,2, 8,6 e 7,6, respectivamente, nas simples e nas complexas; em rela??o ao grau de satisfa??o dos pais, 8,3 (geral), 8,6 e 8 respectivamente; sobre a possibilidade de os pais recomendarem a cirurgia a outros, 85,7% recomendariam, contra 14,3% contrários. Foi observada forte associa??o entre a avalia??o objetiva do especialista e os escores atribuídos pelos pais (p??0,05). Conclus?o os resultados cirúrgicos da sindactilia apresentam diferen?as entre os tipos simples e complexo, apesar de o aspecto estético e a satisfa??o dos pais serem semelhantes. AbstractObjective to evaluate the results from and parents’ satisfaction with treatment for children with syndactyly who were operated at the “SOS Hand Recife” hospital between 2005 and 2009. Methods data for assessing the results were gathered from the patients’ medical files. The subjective scores, which were ascertained prospectively, were as follows: greater than or equal to 9, good resu between 6 and 8, fair resu less than 6, poor result. The results were analyzed statistically. This study was approved by the institution's ethics committee. Results among the 35 cases, 21 (60%) consisted of simple syndactyly and 14 (40%) were complex; 22 (62.8%) were boys and 13 (37.1%) were girls. The complex cases were predominantly among males. The main complications were: infection (11.4%), bleeding (11.4%) and pain (8.6%). There were more complications in the complex cases (42.8%) than in the simple cases (33.3%). The mean scores from the parents’ subjective evaluations were as follows: 7.6 for esthetics (7.7 in simple cases and 7.3 in complex cases; 8.2 for function (8.6 in simple cases and 7.6 in complex cases); 8.3 for the parents’ general satisfaction level (8.6 in simple cases and 8.0 in complex cases); and 85.7% of the parents would recommend the surgery to others while 14.5% would not. A strong association was observed between the specialist's objective assessment and the scores given by the parents (p??0.05). Conclusion the surgical results from treating syndactyly presented differences between the simple and complex types, even though the parents’ esthetic evaluations and satisfaction were similar.