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Related Experiment Video

Updated: May 12, 2026

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Graftless Syndactyly Release.

Jia Choong1, Michalis Hadjiandreou2, Pauline McGee1

  • 1Department of Plastic and Reconstructive Surgery, Royal Hospital for Children and Young People, Edinburgh, Scotland, UK.

Techniques in Hand & Upper Extremity Surgery
|May 20, 2024
PubMed
Summary
This summary is machine-generated.

The trilobed flap technique offers a safe and reliable method for syndactyly release, effectively resurfacing digits while minimizing scarring and avoiding skin grafts.

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Area of Science:

  • Plastic Surgery
  • Hand Surgery
  • Pediatric Surgery

Background:

  • Syndactyly release aims to restore independent digit motion by addressing skin deficits.
  • Conventional methods often involve skin grafts, necessitating additional donor sites.
  • Graftless techniques exist but lack clear indications and may underemphasize local scarring.

Purpose of the Study:

  • To revisit and detail the trilobed flap technique for syndactyly release.
  • To provide guidance on the geometry and nuances of flap inset.
  • To evaluate the technique's effectiveness in balancing skin requirements and minimizing scarring.

Main Methods:

  • Detailed illustration of the trilobed flap geometry and inset.
  • Application of the technique for simple syndactyly release.
  • Focus on minimizing local donor site scarring.

Main Results:

  • The trilobed flap technique effectively resurfaces digits.
  • It balances the need for skin coverage with minimal local scarring.
  • The technique is reproducible, safe, and reliable for simple syndactyly.

Conclusions:

  • The trilobed flap technique is a viable alternative for syndactyly release.
  • It offers advantages over conventional methods by minimizing donor site morbidity.
  • Clearer indications for graftless techniques are needed, but the trilobed flap is a reliable option for simple cases.