The modified V-Y dorsal metacarpal flap for repair of syndactyly without skin graft

Plastic and Reconstructive Surgery
Vivian M HsuBenjamin Chang

Abstract

Syndactyly repairs that use full-thickness skin grafts risk graft-related complications. The dorsal V-Y advancement flap offers a method of syndactyly release that can eliminate the need for full-thickness skin grafts in some cases of simple syndactyly. A retrospective case series of all patients undergoing syndactyly release without skin grafting performed by the senior author (B.C.) between 1998 and 2007 was conducted. All outpatient and inpatient charts were reviewed for pertinent patient demographics and clinical outcomes, including the incidence of web creep, hypertrophic scarring, flexion contracture, infection, angulation deformity, limited range of motion, ischemia, and need for reoperation. A total of 28 syndactylies were included in the study: 25 simple incomplete and three simple complete. Mean follow-up time was 4.2 years. Mean operative time was 68 minutes. Two patients (7.1 percent) experienced postoperative complications; both were corrected by subsequent revision. The dorsal V-Y advancement flap without skin graft is an effective method of repair primarily in simple incomplete syndactyly.

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Citations

Oct 5, 2010·Plastic and Reconstructive Surgery·Anuj Mishra, Paul McArthur
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
Oct 29, 2011·Clinics in Plastic Surgery·Theresa HeggeMichael W Neumeister
Jul 21, 2015·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Juan LiuHans-Günther Machens
Jul 15, 2015·The Journal of Hand Surgery·Alexander F MericliRaymond F Morgan
Oct 3, 2012·The Journal of Hand Surgery, European Volume·K Bulic
May 18, 2019·The Journal of Hand Surgery, European Volume·Angela A Wang, Douglas T Hutchinson
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
Jun 11, 2019·Annales de chirurgie plastique et esthétique·M DelordD Corcella

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