Correction of syndactyly using a dorsal separated V-Y advancement flap and a volar triangular flap in adults

Annals of Plastic Surgery
Cengiz YildirimIbrahim Akmaz

Abstract

Skin grafts and local flaps are conventional methods of repair for congenital syndactyly, but the results obtained are not always as functional and aesthetic as desired and frequently leave postoperative scars and residual syndactyly. In this article, we describe a new surgical technique for web reconstruction in the correction of simple, incomplete syndactyly. The technique consists of a dorsal separated V-Y advancement flap and a volar triangular flap to cover the newly created web space, thus avoiding skin graft in this space. In all, 15 web spaces in 10 patients were treated using this method. A follow-up period of 6 months to 2 years showed neither recurrence of the deformity nor web creep of any degree. The technique is rapid, safe, easily performed, and reproducible and requires a single surgical procedure. It uses donor tissue identical in color, texture, and thickness, which renders acceptable cosmesis in cases of simple, incomplete syndactyly, therefore, avoiding the use of skin grafts and resulting postoperative scar contracture in the web space.

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Citations

Feb 25, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Cihan SahinErsin Ulkur
Jun 5, 2013·Hand : Official Journal of the American Association for Hand Surgery·Kresimir Bulic
Nov 7, 2015·Journal of Plastic Surgery and Hand Surgery·Mehtap KarameseZekeriya Tosun
Jul 21, 2015·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Juan LiuHans-Günther Machens
Oct 3, 2012·The Journal of Hand Surgery, European Volume·K Bulic
Jul 12, 2018·Plastic and Reconstructive Surgery·Frank YuanKevin C Chung
Jul 13, 2016·Annals of Plastic Surgery·Tetsushi AizawaTomoharu Kiyosawa
Mar 7, 2020·Hand Surgery and Rehabilitation·M Le HanneurF Fitoussi
Mar 5, 2021·Annals of Plastic Surgery·Leonardo KurebayashiRolf Gemperli

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