A New Surgical Technique for Polysyndactyly of the Toes without Skin Graft

Plastic and Reconstructive Surgery
Ayato HayashiMasanobu Nishida

Abstract

Reconstruction for polysyndactyly of the toes aims at cosmetic improvement. A previous method that uses a skin graft has inherent disadvantages of mismatched pigmentation between the graft and the surrounding skin and scar formation at the donor site. The authors' new improved surgical technique for the treatment of polysyndactyly of the toes does not require a skin graft and therefore avoids these problems. The authors designed a subcutaneous flap from the distal portion of a rectangular flap of skin from the dorsal side of the interdigital webbing and moved the former flap to the sidewall of the base of a toe. Both flaps are the same size; therefore, an interdigital space had to be of sufficient size to accommodate both of them. To ensure an adequate blood supply to the flap, careful handling of the subcutaneous flap is essential for success. This procedure can apply to polysyndactyly of the fourth, fifth, and sixth toes when the fourth and fifth toes adhere over the distal side of the distal interphalangeal joint and when the skin on the dorsal side of the fifth toe, regarded as the excessive one, is at lease twice the size of the dorsal rectangular flap. Ten patients with polysyndactyly of the toe were treated with this met...Continue Reading

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Citations

Feb 25, 2011·Annals of Plastic Surgery·Naoshige Iida, Ayako Kotake
Mar 3, 2007·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Yi-Jia LimEng Hin Lee
May 23, 2015·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Susumu SaitoShigehiko Suzuki
Nov 13, 2014·Annals of Plastic Surgery·Satoshi UsamiMutsumi Okazaki
Mar 2, 2013·Foot & Ankle International·Gi Heon ParkDong Hyun Lee
Aug 19, 2016·Plastic and Reconstructive Surgery. Global Open·Naoshige Iida, Ayako Watanabe
May 17, 2017·Plastic and Reconstructive Surgery. Global Open·Toru MiyanagaAkiko Yamashita
Mar 2, 2021·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Tristan LanglaisFranck Fitoussi

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