Long-term results of primary syndactyly correction by the trilobed flap technique

Long-Term Outcomes of Web Creep, Scar Quality, and Function After Simple Syndactyly Surgical Treatment

“…Overall, 76% of patients with a mean follow-up of 6.6 years (range, 6 mo to 10 y) achieved good functional and superior cosmetic results. 13 No grading scale was used to assess the quality of the resulting scars, but both series reported overall good patient satisfaction with the cosmetic results. With respect to the appearance of the skin grafts in our series, surgical release with direct closure provides a valuable alternative and may improve surgical results.…”

“…2,11,13,19 Associated complications of skin grafts have been discussed less frequently. 14,15 Whereas graftless techniques have their advantages, 10,13,20 -23 our patient collective enabled us to perform an analysis of long-term outcomes of full-thickness skin grafting, and quantification of patient's satisfaction as well as complication rates.…”

Behandling av medfødte sammenvokste fingre

“…(21). For the skin graft-free technique, long-term results after more than ten years' follow-up show a somewhat higher occurrence of the development of web creep (22). Goldfarb et al (23) demonstrated good range of motion following the separation of complex syndactyly between the long and ring finger or between the ring and small finger.…”

Distally based venous flap: a new technique for the correction of syndactyly without skin graft in adult patients

“…Most of them are either random or axial pattern based on the metacarpal artery. Various designs of flaps in V-Y advancement [6,27,28], hourglass shape [9,29], trilobed [3,30], pentagonal [5], reverse island [7,8], distally based dorsal hand flap [31] were described for web-space reconstructions. Thus, digital incisions-whether zigzag or straight-could be closed primarily.…”