Island flap reconstruction of the web space in congenital incomplete syndactyly

The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand
M D Brennen, B J Fogarty

Abstract

A number of techniques have been described for the correction of incomplete syndactyly, some of which may produce obvious dorsal scarring of the fingers or hand while others rely on the use of skin grafts. Many of the methods require complex planning. We present our experience of a new technique which simplifies the operative planning, allows a natural looking web space to be reconstructed with minimal dorsal scarring and should minimize the need for skin grafts. Seven patients (nine webs) who underwent correction of incomplete syndactyly were reviewed (follow-up range, 6-32 months). Only one patient early on in the series required a small skin graft to cover a residual defect, following which modifications to the flap design were made. All the web spaces healed without complication and at review there were good functional and aesthetic results.

References

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Citations

Oct 31, 2009·La Chirurgia degli organi di movimento·Yakup CilAbdul Kerim Yapici
Feb 25, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Cihan SahinErsin Ulkur
Oct 10, 2008·Chirurgie de la main·P Samson, B Salazard
Jul 21, 2015·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Juan LiuHans-Günther Machens
Aug 25, 2009·The Journal of Hand Surgery·Charles A Goldfarb
Dec 19, 2008·The Journal of Hand Surgery, European Volume·S TadiparthiP McArthur
Mar 11, 2010·Techniques in Hand & Upper Extremity Surgery·Marios D VekrisAlexandros E Beris
Nov 17, 2009·Plastic and Reconstructive Surgery·Vivian M HsuBenjamin Chang
Jan 11, 2014·The Journal of Craniofacial Surgery·Kriya Gishen, Morad Askari
Dec 22, 2010·Journal of Speech, Language, and Hearing Research : JSLHR·William G KronenbergerLindsey M Hazzard
Apr 2, 2014·Journal of Speech, Language, and Hearing Research : JSLHR·Homira Osman, Jessica R Sullivan
Apr 2, 2014·Journal of Speech, Language, and Hearing Research : JSLHR·Jessica BeerDavid B Pisoni
Oct 31, 2019·The Journal of Hand Surgery, European Volume·Stéphane Guero
Feb 1, 2020·The Journal of Hand Surgery Asian-Pacific Volume·Konrad MendeDavid A Stewart
Mar 7, 2020·Hand Surgery and Rehabilitation·M Le HanneurF Fitoussi

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