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Tissue expansion in reconstructive hand surgery: case report.

R F Morgan, M T Edgerton

    The Journal of Hand Surgery
    |September 1, 1985
    PubMed
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    This study presents a novel method for correcting digital syndactyly using a custom tissue expander. This technique successfully reconstructed finger web spaces without requiring skin grafts, offering a new solution for syndactyly correction.

    Area of Science:

    • Plastic Surgery
    • Regenerative Medicine
    • Hand Surgery

    Background:

    • Digital syndactyly is a congenital condition requiring surgical correction.
    • Previous surgical attempts for this patient resulted in scar tissue and failed primary healing.
    • The patient desired correction without the need for skin grafts.

    Purpose of the Study:

    • To evaluate the efficacy of a custom-designed tissue expander for correcting digital syndactyly.
    • To achieve reconstruction of the finger web space and sides without autologous skin grafting.

    Main Methods:

    • A 22-year-old musician with digital syndactyly underwent a novel surgical approach.
    • A small, custom-designed tissue expander was surgically placed in the affected web space.
    • The tissue expander was gradually inflated over time to promote tissue expansion.

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    Main Results:

    • The slow expansion of the tissue expander generated sufficient tissue for reconstruction.
    • Successful reconstruction of the web space and adjacent finger surfaces was achieved.
    • The procedure avoided the necessity of skin grafts for closure.

    Conclusions:

    • Custom tissue expanders offer a viable alternative for digital syndactyly correction.
    • This method allows for defect closure without skin grafts, particularly in cases with prior scarring.
    • Tissue expansion is a promising technique in reconstructive hand surgery for syndactyly.