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Journal of Hand Surgery (British and European Volume)
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Articles

Island Flap Reconstruction of the Web Space in Congenital Incomplete Syndactyly

M. D. BRENNEN
B. J. FOGARTY

From The Northern Ireland Plastic and Maxillofacial Service, Ulster Hospital Dundonald, Belfast, Northern Ireland, UK

Correspondence: Mr Brendan Fogarty, Specialist Registrar in Plastic Surgery, St Andrews Center for Plastic Surgery and Burns, Broomfield Hospital, Chelmsford, Essex, UK. Tel.: +44-1245-440761; Email: fogarty{at}tantraweb.co.uk

A number of techniques have been described for the correction of incomplete syndactyly, some of which may produce obvious dorsal scarring of the fingers or hand while others rely on the use of skin grafts. Many of the methods require complex planning. We present our experience of a new technique which simplifies the operative planning, allows a natural looking web space to be reconstructed with minimal dorsal scarring and should minimize the need for skin grafts. Seven patients (nine webs) who underwent correction of incomplete syndactyly were reviewed (follow-up range, 6–32 months). Only one patient early on in the series required a small skin graft to cover a residual defect, following which modifications to the flap design were made. All the web spaces healed without complication and at review there were good functional and aesthetic results.

Key Words: hand • congenital • web space • syndactyly

Journal of Hand Surgery (British and European Volume), Vol. 29, No. 4, 377-380 (2004)
DOI: 10.1016/J.JHSB.2004.02.014
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This article has been cited by other articles:


Home page
 J Hand Surg Eur VolHome page
S. TADIPARTHI, A. MISHRA, and P. MCARTHUR
A Modification of the Chinese Island Flap Technique for Simple Incomplete Syndactyly Release
J Hand Surg Eur Vol., February 1, 2009; 34(1): 99 - 103.
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