Related Experiment Video
Updated: Feb 16, 2026
07:57
An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
Published on: December 5, 2025
293
Islanded perforator-based flap versus dorsal rectangular flap for syndactyly release: a prospective analytical study.
Satyaki Roy1, Jerry R John1, Anindita Sinha2
1Departments of Plastic Surgery.
Journal of Pediatric Orthopedics. Part B
|February 15, 2026
Summary
Islanded perforator flaps offer superior outcomes for syndactyly release compared to traditional methods. This surgical technique, guided by Doppler ultrasound, improves function and aesthetics while minimizing complications in congenital hand deformities.
Area of Science:
- Hand Surgery
- Congenital Hand Deformities
- Microsurgery
Background:
- Syndactyly is a congenital hand deformity requiring surgical correction.
- Traditional dorsal rectangular flaps have limitations, including web creep and residual deformities.
- Islanded perforator-based flaps offer enhanced vascularization for improved surgical outcomes.
Purpose of the Study:
- To evaluate the efficacy of islanded perforator-based flaps for syndactyly release.
- To compare outcomes of islanded flaps versus traditional dorsal flaps.
- To assess the role of preoperative Doppler ultrasound in surgical planning.
Main Methods:
- Prospective observational study of 31 webspaces in 26 patients undergoing syndactyly release.
- Preoperative Doppler ultrasound for vascular mapping in 15 cases.
- Assessment of functional and aesthetic results using Withey score, Visual Analog Scale (VAS), and photographic analysis.
Main Results:
- Improved VAS scores post-surgery, particularly in younger patients and males.
- Islanded flaps showed better long-term VAS scores (1.9±0.83) than dorsal flaps (2.60±0.84).
- Significant improvement in scar quality and minimal complications with islanded perforator flaps.
Conclusions:
- Islanded perforator-based flaps are a promising alternative for syndactyly release.
- Doppler mapping enhances surgical precision and vascular safety.
- This technique yields superior functional and aesthetic results with reduced complications.
Related Concept Videos
01:23Curvilinear Motion: Rectangular Components
1.3K
Curvilinear motion characterizes the movement of a particle or object along a curved path, notably evident when envisioning a car navigating a winding road. If the car starts at point A, its position vector is established within a fixed frame of reference, where the ratio of the position vector to its magnitude signifies the unit vector pointing in the position vector's direction.
As the car advances, its position evolves over time. Quantifying the car's velocity involves computing the...
As the car advances, its position evolves over time. Quantifying the car's velocity involves computing the...
1.3K
01:02Long-patch Base Excision Repair
8.1K
Since the discovery of the two BER pathways, there has been a debate about how a cell chooses one pathway over the other and the factors determining this selection. Numerous in vitro experiments have pointed out multiple determinants for the sub-pathway selection. These are:
8.1K
01:22Esophageal Perforation-I: Introduction
632
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
632
01:19Rectangular and Triangular Pulse Function
2.0K
The unit rectangular pulse function is mathematically represented by a rectangular function centered at the origin with a height of one unit. This function is defined by two parameters: T, which specifies the center location of the pulse along the time axis, and τ, which determines the pulse duration.
For example, consider a rectangular pulse with a 5V amplitude, a 3-second duration, and centered at t=2 seconds. This pulse can be expressed using the rectangular function, written as,
For example, consider a rectangular pulse with a 5V amplitude, a 3-second duration, and centered at t=2 seconds. This pulse can be expressed using the rectangular function, written as,
2.0K
01:11Distribution of Stresses in a Narrow Rectangular Beam
562
In studying beam stress distribution, examining an elemental section is essential. To determine the average shearing stress on this face, the calculated shear is divided by the surface area. Importantly, shearing stresses on the beam's transverse and horizontal planes mirror each other, indicating a consistent stress distribution along the upper region of the beam. Notably, shearing stresses are absent at the beam's upper and lower surfaces due to the absence of applied forces in these...
562
01:21Development of Analytical Methods
2.4K
An analytical methodology can be divided into four sequential steps: technique, method, procedure, and protocol. A technique is a scientific principle that rationalizes a specific phenomenon through chemical measurements. Adapting a technique for analyzing a sample of interest is termed a method. The procedure outlines the directions for performing the analysis via an analytical method. The protocol is the detailed guidelines on the procedure, which should be strictly followed to obtain the...
2.4K