Syndactyly correction using a venous flap with the plantar cutaneous venous arch

Annals of Plastic Surgery
Natsuki SakamotoKatsueki Watanabe

Abstract

A combination of skin grafts and local flaps is widely used in the reconstruction of syndactyly of the toes. Covering the skin defect without skin grafts on the unilateral side of the toe is preferred, and for this purpose, a rotated flap from the plantar area is typically used. However, the flap can become ischemic or congested in some cases. To avoid this, we elevated a plantar flap with the plantar cutaneous venous arch using a triangular venous flap and covered the lateral side of the web in 7 cases of syndactyly. The dorsal flap was used to create the new web, and the opposite lateral side was reconstructed using a skin graft. The flap circulation was stable, the pedicle of the flap was narrow, and the flap relocation was simple. No flap in any patient showed any evidence of congestion or ischemia. Follow-up demonstrated that the new web was patent in all cases, with no evidence of contraction.

References

Dec 1, 1989·Annals of Plastic Surgery·J NakamuraT Endo
Oct 1, 1981·Journal of the American Podiatry Association·W B ColemanH D Sterling
Jul 1, 1995·British Journal of Plastic Surgery·Y Itoh, K Arai
Sep 1, 1996·Plastic and Reconstructive Surgery·S ParkM Minegishi
Jul 1, 1997·The Journal of Hand Surgery·Y BandohH Seno
Dec 20, 2007·Plastic and Reconstructive Surgery·Nobuaki ImanishiSadakazu Aiso
Mar 12, 2010·Plastic and Reconstructive Surgery·Akiyoshi KajikawaMasaru Horikiri
Sep 3, 2010·Plastic and Reconstructive Surgery·Ahid Abood, Alan Phipps

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Citations

Jul 29, 2016·Plastic and Reconstructive Surgery·Diogo CasalJoão Goyri O'Neill
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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