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A Double Pulp Flap Technique for Creating Nail-folds in Syndactyly Release

From the Section of Hand Surgery, Department of Orthopaedic Surgery, Odense University Hospital, Denmark

Correspondence: Lis Lundkvist, M.D., Department of Orthopaedic Surgery, Odense University Hospital, 5000 Odense C, Denmark.

A method is described of creating nail-folds in the release of cases of complete syndactyly. A double pulp flap was used as a one-stage technique in 13 patients in whom webs were separated. All patients were reviewed after a minimum of one year. Fullness of pulp was achieved in all fingers. The nail-fold was considered normal in 14 of 18 fingers covered with a broad flap and in 8 of 18 fingers covered with a narrow flap. In the remaining cases the nail-fold was small but never absent. No gap loss was encountered and there was no late nail deformity from scarring.

Journal of Hand Surgery (British and European Volume), Vol. 16, No. 1, 32-34 (1991)
DOI: 10.1016/0266-7681(91)90123-6


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