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V-Y and rectangular flap combination for syndactyly repair
Mehtap Karamese1, Osman Akdag1, Muhammed Nebil Selimoglu1
1a Selcuk University , Department of Plastic Reconstructive and Aesthetic Surgery , Konya , Turkey.
Journal of Plastic Surgery and Hand Surgery
|November 7, 2015
Summary
This study presents a simple technique for syndactyly release using combined flaps and S-incisions. The method offers excellent functional and aesthetic outcomes with minimal web creep and high patient satisfaction.
Area of Science:
- Plastic Surgery
- Pediatric Surgery
- Hand Surgery
Background:
- Syndactyly repair often involves complex flap techniques.
- Optimal functional and aesthetic outcomes are crucial for patient satisfaction.
Purpose of the Study:
- To present a novel technique for syndactyly release.
- To evaluate the functional and aesthetic results of a combined flap approach for web reconstruction and finger separation.
Main Methods:
- A combined dorsal rectangular and volar V-Y advancement flap technique was used for web reconstruction.
- S-incisions were employed for finger separation in 10 patients with 16 syndactyly webs.
- Outcomes were assessed using the Vancouver Scar Scale, range of motion, web creeping, and parent satisfaction.
Main Results:
- No immediate complications such as vascular compromise, hematoma, infection, seroma, flap necrosis, or graft failure were observed.
- No revision surgeries were required.
- Excellent or good parent satisfaction, complete finger function, and acceptable scar quality (two hyperpigmented, two supple) were reported in the long term.
Conclusions:
- This simple syndactyly release technique yields a low rate of web creep.
- The procedure provides good scar quality and optimal functional results.
- The combined flap and S-incision method is effective for syndactyly reconstruction.
