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Related Experiment Videos

Tissue expansion for Apert's syndactyly

D Ashmead1, P J Smith

  • 1Hospital for Sick Children, London, UK.

Journal of Hand Surgery (Edinburgh, Scotland)
|June 1, 1995
PubMed
Summary
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Tissue expansion for Apert's syndactyly management led to more surgeries and complications. This technique proved disappointing, generating inadequate skin flaps and requiring more revisions than traditional methods.

Area of Science:

  • Plastic and reconstructive surgery
  • Congenital hand anomalies
  • Microsurgery

Background:

  • Tissue expansion is a reconstructive technique used for soft tissue defects, particularly in upper extremity post-traumatic reconstruction.
  • Its application has been explored for congenital syndactyly, aiming to provide local skin coverage without grafts.

Purpose of the Study:

  • To retrospectively assess the efficacy and outcomes of tissue expansion in managing Apert's syndactyly.

Main Methods:

  • Retrospective review of patients with Apert's syndactyly who underwent tissue expansion for reconstruction.
  • Evaluation of complication rates, number of operations, flap adequacy, and revision rates compared to traditional techniques.

Main Results:

Related Experiment Videos

  • Tissue expansion significantly increased the number of required surgical procedures.
  • The technique was associated with a high rate of complications and inadequate skin flaps.
  • Web spaces required a higher rate of revision compared to conventional surgical methods.

    • Conclusions:

    • Tissue expansion for Apert's syndactyly management yielded disappointing results.
    • The technique is not advocated due to increased surgical burden, complications, and suboptimal outcomes.