not to have surgery.

Indications

Surgical treatment of the cleft hand is based on several indications:
* Improving function
* Absent thumb
* Deforming syndactyly (mostly between digits of unequal length like index and thumb)
* Transverse bones (this will progress the deformity; growth of these bones will widen the cleft)
* Narrowed first webspace
* The feetAesthetical aspects
* Reducing deformity

Timing of surgical interventions

The timing of surgical interventions is debatable.

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