Resolution of 2nd, 3rd or 4th interdigital space incomplete, simple syndactyly using a random vascularity flap

Llave, Heriberto Garza de la; Murat, Yusef Jiménez; Figueroa, Alejandro Ángel Corona

doi:10.20517/2347-9264.2016.108

Cited by 1 publication

(2 citation statements)

References 11 publications

(16 reference statements)

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“…Therefore, a functional and aesthetically pleasing interdigital space must be created with as few procedures as possible. 10,11 The optimum time for the release of syndactyly has been under debate for a long. However, recently, more authors believe that patients with simple syndactyly involving only two fingers can be operated upon before the child is 18 months old.…”

Section: Discussionmentioning

confidence: 99%

“…To accomplish this goal, adequate webspace, distal phalanges, and fingertips must be formed with minimum procedures as possible. 10 Using skin graft to cover the raw area has the disadvantage of web creep, flexion contracture, patchy appearance of the grafted area due to colour mismatch, and the donor site morbidity. It also increases the operative time and the time it takes to be off the dressings and start using the hand.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Outcomes Following Syndactyly Release with Grafts and Without Grafts

Mansoor

Ahmed

Hameed

2022

PAFMJ

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Objective: To compare the results of syndactyly release with or without graft in patients with simple syndactyly of hand. Study Design: Prospective comparative study. Place and Duration of Study: Department of Plastic Surgery, Combined Military Hospital Rawalpindi Pakistan, from Jul 2017 to Jun 2019 Methodology: Forty-five patients with simple syndactyly were included in this study. Group-1 had 20 patients whose syndactyly was released without using a skin graft. Group-2 had 25 patients whose soft tissue was covered with a fullthickness skin graft between the flaps post syndactyly release. Both groups were compared based on operative time, wound healing time, and when physiotherapy was started post operatively. Results: The results of our study showed that the mean operative time for the first group was 47.1 ± 4.5 minutes (range 35-60 minutes) and for the second group 90.5 ± 10.0 minutes (range 72-108 minutes) with a p-value <0.001. The wound healing time for the first group was 15.2 ± 1.3 days (12-18 days’ range) and for the second group was 22.5 ± 5.1 days (range 14-30 days) with a p-value <0.001. Post-operative physiotherapy was started earlier in the first group with an average of 20.6 ± 1.3 days (18-22 days’ range) as compared to the second group whose average time of the start of physiotherapy was 27.7 ± 4.4 days (range 20- 35 days) with p-value <0.001. Conclusion: Syndactyly release without a skin graft has a lesser operative time, early wound healing and an earlier start of physiotherapy than syndactyly release with......

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%