Aesthetic repair for syndactyly of the toes using a plantar rectangular flap

Plastic and Reconstructive Surgery
Akiyoshi KajikawaMasaru Horikiri

Abstract

Use of a dorsal rectangular flap is the most common method of creating a deep interdigital space for syndactyly of the toes. However, the pigmented skin grafts exposed to the dorsal side are conspicuous. To resolve this problem, several methods have been reported. However, the local flap methods could be adapted only in mild syndactylies, and plantar skin flaps exposed to the dorsal side are too whitish. Meanwhile, in the methods using skin grafts from the inframalleolar region, the marginal scars of the skin grafts are still conspicuous on the dorsal side. To resolve these problems, the authors devised a new surgical method using a plantar rectangular flap. In this method, the authors designed a rectangular flap on the plantar side. Only a small triangular flap and a slight zigzag skin-incision line were designed on the dorsal side. The plantar rectangular flap was put down into the bottom of the interdigital space and was sutured with the dorsal triangular flap. Full-thickness skin was grafted to the raw surface at the sides of the divided toes. The authors performed this method on 18 syndactylies of 12 patients. In all cases, the corrected toes showed a deep and natural interdigital space without exposure of skin grafts or c...Continue Reading

References

Nov 1, 1976·Plastic and Reconstructive Surgery·E MarumoS Suzuki
May 1, 1989·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·N ZoltieA Logan
Dec 1, 1989·Annals of Plastic Surgery·J NakamuraT Endo
Jul 1, 1995·British Journal of Plastic Surgery·Y Itoh, K Arai
Sep 1, 1996·Plastic and Reconstructive Surgery·S ParkM Minegishi
Jun 2, 2009·Plastic and Reconstructive Surgery·Akiyoshi KajikawaYuichiro Yana

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Citations

Jan 12, 2021·Plastic and Reconstructive Surgery. Global Open·Yoko Katsuragi TomiokaMutsumi Okazaki
Jul 13, 2016·Annals of Plastic Surgery·Tetsushi AizawaTomoharu Kiyosawa
May 21, 2014·Annals of Plastic Surgery·Natsuki SakamotoKatsueki Watanabe

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