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Syndactyly: can web creep be avoided?

A L Moss1, G Foucher

  • 1Department of Plastic and Reconstructive Surgery, Frenchay Hospital, Bristol.

Journal of Hand Surgery (Edinburgh, Scotland)
|May 1, 1990
PubMed
Summary
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Surgical correction of syndactyly (webbed fingers) can lead to web creep. A new technique using dorsal and palmar flaps effectively reconstructs the entire web, significantly reducing web creep incidence.

Area of Science:

  • Plastic Surgery
  • Congenital Hand Deformities

Background:

  • Syndactyly is a common congenital hand deformity.
  • Post-surgical contractures and web creep remain significant challenges after correction.
  • The role of junctional scar in web creep etiology is often overlooked.

Purpose of the Study:

  • To introduce a novel surgical technique for syndactyly correction.
  • To address the issue of web creep by targeting the junctional scar.
  • To improve the overall outcome of syndactyly surgical repair.

Main Methods:

  • A surgical technique involving a dorsal flap and two palmar laterally-based flaps is described.
  • This method aims to disrupt the palmar junctional scar.
  • The procedure focuses on complete web reconstruction, not just the web floor.

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Main Results:

  • The described technique successfully breaks up the palmar junctional scar.
  • Complete web reconstruction was achieved.
  • A reduced incidence of web creep was observed in a series of 49 webs.

Conclusions:

  • This flap technique offers a comprehensive solution for syndactyly.
  • It effectively mitigates the problem of post-operative web creep.
  • The method is applicable to all forms of syndactyly.