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Interdigitating Rectangular Flaps and Dorsal Pentagonal Island Flap for Syndactyly Release.

Alfred P Yoon1, Neil F Jones2

  • 1Section of Plastic and Reconstructive Surgery, University of Michigan Health System, Ann Arbor, MI.

The Journal of Hand Surgery
|April 6, 2019
PubMed
Summary

Interdigitating rectangular flaps offer an effective method for syndactyly release in children. This technique simplifies design and reduces complications like flap tip necrosis, improving surgical outcomes.

Keywords:
Congenital handinterdigitating rectangular flappentagonal island flapsyndactyly

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Area of Science:

  • Plastic surgery
  • Pediatric orthopedics
  • Hand surgery

Background:

  • Syndactyly release commonly uses interdigitating triangular flaps.
  • Triangular flaps present challenges including misalignment, tip necrosis, and a steep learning curve.

Purpose of the Study:

  • To describe syndactyly reconstructions using interdigitating rectangular flaps.
  • To evaluate the efficacy and safety of rectangular flaps in simple and complex syndactyly.

Main Methods:

  • Retrospective review of a single surgeon's experience with interdigitating rectangular flaps.
  • Analysis of patient demographics, operative techniques, complications, and outcomes in 50 children.

Main Results:

  • Ninety-four web spaces were reconstructed in 50 children with various syndactyly types.
  • Five major complications (2 recurrences, 2 scarrings, 1 infection) and ten minor complications occurred.
  • High parental satisfaction reported regarding function and appearance.

Conclusions:

  • Interdigitating rectangular flaps are an effective technique for syndactyly release.
  • Advantages include ease of learning, intraoperative design modification, and reduced flap tip necrosis.
  • This method is suitable for both simple and complex syndactyly cases.