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Long-Term Results of Syndactyly Correction: Full-Thickness versus Split-Thickness Skin GraftsFrom the Department of Plastic Surgery, University Hospital, Groningen, The Netherlands Correspondence: Dr J.P.A. Nicolai, Department of Plastic Energy, University Hospital Groningen, Hanzeplein 1, Postbus 30001, 9700 RB Groningen, The Netherlands. Tel.: +31 50 3613531; Fax: +31 50 3613043; E-mail: j.p.a.nicolai{at}chir.azg.nl. In order to compare the long-term results of full-thickness and split-thickness skin grafts after the correction of congenital syndactyly, 27 patients have been investigated after an average follow-up of 21 years. Post-operative functional and cosmetic results have been assessed by patient records, questionnaires and physical examination. The webs that had received split-thickness grafts showed more flexion and extension lags and the overall spreading of the operated fingers was significantly decreased compared to the control fingers. On the other hand, more re-operations because of web creep had to be performed after full-thickness grafts. Hyperpigmentation and hair growth in the grafts was found in most of the full-thickness grafts, while breakdown of the graft was found in some of the split-thickness grafts. Therefore, based on the results of this study, either full- or split-thickness skin grafts can be used when treating of congenital syndactyly.
Journal of Hand Surgery (British and European Volume), Vol. 28, No. 2,
125-130 (2003) |
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