Single-Stage Congenital Polysyndactyly Release: Outcomes and Long-Term Followup Publisher Pubmed



Nazerani S¹ ; Nazerani T³ ; Keramati MR² Show Affiliations
Source: Techniques in Hand and Upper Extremity Surgery Published:2022

Abstract

The current surgical strategy for syndactyly is multistage operations in which every other web is released, leaving adjacent webs unoperated for the next stage to avoid a presumed possible digital vascular compromise. In this series, we present our experience with single-stage multiple syndactylies release. A total of 7 patients, including 2 patients with bilateral hand involvement, were included. Dorsal and volar triangular flaps were created for commissure reconstruction, and zigzag manner volar and dorsal incisions were made to release the webbed fingers. Sterile thermoplastic splints were molded directly over the skin grafts without any dressing or tie-over. Following the surgical operation, minimal flexion contracture was seen in three patients that needed future correction procedures. Cosmesis and functional outcome were acceptable. This study shows that the release of all webs in 1 setting can be accomplished by no vascular compromise, and there is no need for a preoperative vascular imaging study. © 2022 Lippincott Williams and Wilkins. All rights reserved.