Advantages of open treatment for syndactyly of the foot: defining its indications

Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
Makoto HikosakaIkkei Tamada

Abstract

For the repair of syndactyly of the foot, skin grafting is often used to close the skin defect, but open treatment is not common. However, with grafting, an additional scar at the donor site and patchwork-like scar at the recipient site are inevitable. Our aim was to describe the process of epithelialisation and define the indications for open treatment of syndactyly of the foot. The open treatment was used on 16 webs. The texture of epithelialised surface resembled volar skin; the visible scar was mainly at the dorsal edge; and web creep occurred predominantly on the volar side and resembled the natural slope of the commissure. Open treatment is better than skin grafting because of better match of texture without a patchwork-like scar, and it is indicated in cases of simple incomplete syndactyly of the foot that extends proximal to the distal interphalangeal joint.

References

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Citations

Nov 29, 2011·Foot and Ankle Clinics·Ho-Seong Lee, Woo-Chun Lee
Aug 17, 2010·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·D J Marsh, D Floyd
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 30, 2016·Archives of Plastic Surgery·Jong Ho KimSung Tack Kwon
May 17, 2017·Plastic and Reconstructive Surgery. Global Open·Toru MiyanagaAkiko Yamashita

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