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Original Article

V-Y and rectangular flap combination for syndactyly repair

, , , &
Pages 102-106 | Received 15 Feb 2015, Accepted 03 Sep 2015, Published online: 05 Nov 2015
 

Abstract

Objective: For syndactyly repair, several delicate, well-planned flap combination techniques have been reported. This study presents technique details with functional and aesthetic results of a dorsal rectangular and volar V-Y advancement flap combination for web reconstruction and S incisions for finger separation in patients with syndactyly.

Method: Ten patients with 16 syndactyly webs were treated. Patients were examined in terms of function and aesthetic. Evaluation criteria included the Vancouver Scar Scale, range of motion, degree of web creeping, parent’s satisfaction rates, and finger abduction. During the initial period, vascular compromise of fingers, haematoma, infection, seroma, flap necrosis, or graft failures were not noted in any patients. No patients required revision surgery. During the later period, parent satisfaction scores were excellent or good, finger function was complete, and the Vancouver Scar Scale showed that two webs had hyperpigmented areas and two had supple pliability.

Conclusion: This simple syndactyly release technique can provide a low rate of web creep, good scar quality, and optimal functional results.

Acknowledgements

This study was conducted with approval from the Local Ethical Committee.

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

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