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Desyndactyly: a literature review.
The Journal of Foot Surgery
|September 1, 1990
Summary
Surgical repair of syndactyly (webbed digits) often requires skin grafts alongside flaps to prevent complications. This review details historical and current surgical techniques for syndactyly correction.
Area of Science:
- Plastic Surgery
- Pediatric Surgery
- Congenital Hand Anomalies
Background:
- Syndactyly, a congenital condition involving webbed digits, has been surgically addressed since the early 1800s.
- Numerous surgical techniques have evolved over time for syndactyly repair.
- Skin deficiency is a common challenge in syndactyly reconstruction using skin flaps alone.
Purpose of the Study:
- To provide a historical overview of syndactyly repair methods.
- To describe and illustrate selected surgical procedures for syndactyly.
- To highlight optimal strategies for skin coverage in syndactyly surgery.
Main Methods:
- Historical literature review from the early 1800s to the present.
- Selection and description of key surgical procedures for syndactyly.
- Inclusion of diagrammatic illustrations for clarity.
Main Results:
- A wide array of surgical methods for syndactyly repair have been documented historically.
- Skin flap use in syndactyly repair frequently leads to skin deficit.
- Skin grafting (full thickness or porcine) is recommended to augment skin flaps.
Conclusions:
- Effective syndactyly repair necessitates careful consideration of skin coverage.
- Combining skin flaps with grafts is often superior to flaps alone for preventing postoperative complications.
- The historical progression of techniques underscores the importance of adequate skin reconstruction in syndactyly surgery.