01

Congenital Hand

Reconstruction, decision-making, and long-term outcomes

Sessions

Two (Day 1 & 2)

Talks

11 total

International

Dr Takagi (Japan)

About this
topic

Congenital differences of the hand sit at the intersection of paediatric orthopaedics, plastic surgery, and developmental biology. The choices a surgeon makes in infancy and early childhood shape decades of function — get the timing wrong on a thumb hypoplasia reconstruction and the patient lives with the consequence for life.

PULS 2026 dedicates portions of both days to congenital reconstruction. Day 1 covers the foundational anomalies: thumb hypoplasia, syndactyly, macrodactyly, radial club hand, and the spectrum of crooked fingers. Day 2 broadens to arthrogryposis, multiple hereditary exostoses, paediatric bone cysts, and trigger thumb — the conditions where the question is not just how to operate but whether to operate at all.

Featured international voice is Dr Takehiko Takagi from Tokyo Medical and Dental University. The syndactyly debate between Dr Kannan K. Kumar and Dr Hari Venkatramani — graft versus graftless — promises to surface the technical trade-offs honestly.

01Sessions & Talks
08:15 – 09:15 Congenital hand — basics Day 1
  • 08:15 – 08:23Thumb hypoplasia: reconstruction optionsDr Takehiko Takagi
  • 08:23 – 08:31Syndactyly solutions: graft vs graftlessDr Kannan K. Kumar vs Dr Hari Venkatramani
  • 08:31 – 08:39Macrodactyly managementTo be announced
  • 08:40 – 08:48Preventing reversal: long-term strategies for radial club handDr Ashwath Acharya
  • 08:48 – 08:57Strategy for crooked fingers (Kirner, clino- and campto-)To be announced
  • 08:57 – 09:15Panel discussion and questions
08:30 – 09:30 Congenital — continued Day 2
  • 08:30 – 08:38Comprehensive management of arthrogryposisDr Praveen Bhardwaj
  • 08:38 – 08:46Multiple hereditary exostoses: deformity correctionDr Mandar Agashe
  • 08:46 – 08:54Bone cyst: injection, curettage, or observation?Dr Rudraprasad
  • 08:54 – 09:02Paediatric trigger thumb: watchful neglect or early interventionTo be announced
  • 09:02 – 09:10Writer's cramp and malingeringDr Bipin Ghanghurde
  • 09:10 – 09:30Questions and panel discussion
01Faculty on this topic
Dr Takehiko Takagi
Tokyo Medical and Dental University, Japan
PresentingThumb hypoplasia: reconstruction options
Dr Kannan K. Kumar
HOSMAT Hospital, Bangalore
PresentingSyndactyly debate — graft approach
Dr Hari Venkatramani
Ganga Hospital, Coimbatore
PresentingSyndactyly debate — graftless approach
Dr Ashwath Acharya
Paediatric Orthopaedic Surgeon
PresentingLong-term strategies for radial club hand
Dr Praveen Bhardwaj
Ganga Hospital, Coimbatore
PresentingArthrogryposis comprehensive management
Dr Mandar Agashe
Paediatric Orthopaedic Surgeon, Mumbai
PresentingMultiple hereditary exostoses
Dr Rudraprasad
Paediatric Orthopaedic Surgeon
PresentingBone cyst management
Dr Bipin Ghanghurde
BiPrag Hand Academia, Mumbai
PresentingWriter's cramp and malingering
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