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The use of a dorsal double-wing flap without skin grafts for congenital syndactyly treatment: A STROBE compliant study.

Abstract Numerous techniques have been developed that use various flaps to treat syndactyly. Skin grafts have often been used to cover remaining surgical defects. The long-term aim of surgery is to find new methods of separating the digits without using skin grafts. This paper describes a new surgical technique for the correction of simple, incomplete, and complete syndactyly. The technique consists of a dorsal double-wing flap to cover the newly created web space and zigzag incisions in the fingers, thus avoiding the use of skin grafts in this space. Overall, 35 web spaces in 24 patients were treated using this technique. Patient follow-up ranged from 6 months to nearly 5 years. There were no complications such as hematoma, infection or flap necrosis, and no fingers needed skin grafts after separation. The average operative time for each web space was approximately 45 minutes. Ninety-seven percent of patients treated with the dorsal double-wing flap procedure achieved good function, and superior cosmetic results following a single surgery. The technique is simple, rapid, safe, and easily performed and does not require the use of skin grafts.
PMID
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Authors

Mayor MeshTerms

Reconstructive Surgical Procedures

Surgical Flaps

Keywords
Journal Title medicine
Publication Year Start




PMID- 28746226
OWN - NLM
STAT- MEDLINE
DA  - 20170726
DCOM- 20170807
LR  - 20170807
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 30
DP  - 2017 Jul
TI  - The use of a dorsal double-wing flap without skin grafts for congenital
      syndactyly treatment: A STROBE compliant study.
PG  - e7639
LID - 10.1097/MD.0000000000007639 [doi]
AB  - Numerous techniques have been developed that use various flaps to treat
      syndactyly. Skin grafts have often been used to cover remaining surgical defects.
      The long-term aim of surgery is to find new methods of separating the digits
      without using skin grafts. This paper describes a new surgical technique for the 
      correction of simple, incomplete, and complete syndactyly. The technique consists
      of a dorsal double-wing flap to cover the newly created web space and zigzag
      incisions in the fingers, thus avoiding the use of skin grafts in this space.
      Overall, 35 web spaces in 24 patients were treated using this technique. Patient 
      follow-up ranged from 6 months to nearly 5 years. There were no complications
      such as hematoma, infection or flap necrosis, and no fingers needed skin grafts
      after separation. The average operative time for each web space was approximately
      45 minutes. Ninety-seven percent of patients treated with the dorsal double-wing 
      flap procedure achieved good function, and superior cosmetic results following a 
      single surgery. The technique is simple, rapid, safe, and easily performed and
      does not require the use of skin grafts.
FAU - Dong, Yanzhao
AU  - Dong Y
AD  - aDepartment of Orthopedics, the First Affiliated Hospital of Zhengzhou University
      bDepartment of Orthopedics, the Third Affiliated Hospital of Zhengzhou
      University, Zhengzhou, Henan, China.
FAU - Wang, Yisheng
AU  - Wang Y
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Fingers/pathology/*surgery
MH  - Humans
MH  - Infant
MH  - Male
MH  - Operative Time
MH  - *Reconstructive Surgical Procedures
MH  - Retrospective Studies
MH  - *Surgical Flaps/pathology
MH  - Syndactyly/pathology/*surgery
MH  - Treatment Outcome
EDAT- 2017/07/27 06:00
MHDA- 2017/08/08 06:00
CRDT- 2017/07/27 06:00
AID - 10.1097/MD.0000000000007639 [doi]
AID - 00005792-201707280-00057 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Jul;96(30):e7639. doi: 10.1097/MD.0000000000007639.