title: The Apert hand--angiographic planning of a single-stage, 5-digit release for all classes of deformity.
abstract: OBJECTIVE
  To demonstrate the utility of computed tomography angiographic planning of a single-stage, complete release of syndactyly in Apert syndrome.
  
  
  METHODS
  Computed tomography angiograms were performed as a preoperative planning tool in 6 patients. Five came to surgery. All had a single-stage operation for complete release of their syndactyly.
  
  
  RESULTS
  Five patients, ranging from Upton type 1 to type 3 Apert hand deformities, have had preoperative computed tomography angiography that delineated the vascular anatomy. This allowed planning and execution of a single-stage syndactyly release in all patients. The preoperative imaging identified noteworthy abnormalities in vascular anatomy that were incorporated into surgical planning.
  
  
  CONCLUSIONS
  The protocol presented allows preoperative planning and single-stage operation for complete release of syndactyly in patients with Apert syndrome.
authors.affiliation: Department of Medical Imaging, Women's and Children's Hospital, North Adelaide, South Australia. harveyi@live.com
authors.forename: Isaac
authors.initials: I
authors.lastname: Harvey
authors.forename: Scott
authors.initials: S
authors.lastname: Brown
authors.forename: Oliver
authors.initials: O
authors.lastname: Ayres
authors.forename: Timothy
authors.initials: T
authors.lastname: Proudman
mesh_terms: D000168:Acrocephalosyndactylia / Q000000981:diagnostic imaging / Q000601:surgery; D000792:Angiography / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005385:Fingers / Q000002:abnormalities* / Q000601:surgery; D005500:Follow-Up Studies; D006228:Hand Deformities, Congenital / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods*; D012189:Retrospective Studies; D018570:Risk Assessment; D012494:Sampling Studies; D013576:Syndactyly / Q000000981:diagnostic imaging* / Q000601:surgery*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome