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Syndactyly Release

Tara L Braun1, Jeffrey G Trost1, William C Pederson1

  • 1Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas.

Seminars in Plastic Surgery
|November 30, 2016
PubMed

Insights

Syndactyly release aims to restore hand function by creating normal webspaces and ensuring tension-free closure. Surgical outcomes are generally good for simple cases, but complex syndactyly may present more challenges.

Area of Science:

  • Pediatric Plastic Surgery
  • Congenital Hand Anomalies
  • Surgical Reconstruction

Background:

  • Syndactyly, a common congenital hand anomaly, requires surgical intervention.
  • Established principles guide the timing and surgical approach for syndactyly release.
  • Surgical goals include anatomical webspace creation, tension-free closure, and functional restoration.

Approach:

  • Review of established and recent surgical methods for syndactyly separation.
  • Discussion of techniques utilizing local flaps and skin grafts.
  • Exploration of graftless reconstructive techniques for specific indications.

Key Points:

  • Standard syndactyly release prioritizes anatomical correction and functional recovery.
  • Local flaps and skin grafts are common reconstructive tools.
  • Graftless techniques offer alternatives for select cases.
  • Special considerations exist for complete, complex, and syndromic syndactylies.

Conclusions:

  • Simple syndactyly release typically yields favorable outcomes with adherence to surgical principles.
  • Complex syndactyly release is associated with a higher incidence of complications and less favorable results.

Keywords:
commissure reconstructioncongenital hand anomaliesskin graftsyndactylyweb creep

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