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Journal of Hand Surgery (European Volume)
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Article

A modification of the Chinese island flap technique for simple incomplete syndactyly release

Sujatha Tadiparthi*, A. Mishra, and P. McArthur

From the Department of Plastic and Reconstructive Surgery, Alder Hey Children's Hospital, Liverpool, UK

* To whom correspondence should be addressed.


  Abstract

This paper presents a modification of the technique described by Yao et al. using a vascular island flap based on a dorsal digital vessel, which allows transfer of the web proximally and retains the integrity of the web skin. The technique was used in nine patients, aged from 1 to 15 years at operation, with nine incomplete simple syndactylies. The results were assessed at a mean of 36 (range 5–60) months after surgery. No vascular compromise or web creep was noted. This technique enables transfer of web skin proximally in cases of simple, incomplete syndactyly, avoids the presence of scars in the web space and does not require skin grafts.

Key Words: syndactyly, island web transfer, simple incomplete syndactyly, syndactyly correction, web space

First published on December 17, 2008, doi:10.1177/1753193408094708

Journal of Hand Surgery (European Volume) 2009;34:99.

A more recent version of this article appeared on February 1, 2009

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