Syndactyly Release

Overview

Journal Semin Plast Surg

Specialty General Surgery

Date 2016 Nov 30

PMID 27895538

Citations 18

Authors

Tara L Braun

Jeffrey G Trost

William C Pederson

Affiliations

Soon will be listed here.

Abstract

Syndactyly is one of the most common congenital hand anomalies treated by pediatric plastic surgeons. Established principles of syndactyly separation dictate the timing and order of syndactyly release, with the goals of surgery being the creation of an anatomically normal webspace, tension-free closure of soft tissue, and return of function to the fingers. Numerous surgical methods have been described, many of which involve the use of local flaps to reconstruct the commissure and full-thickness skin grafts for coverage of raw areas. Recently, reconstructive techniques without the use of skin grafts have been devised, which work well for certain indications. Special considerations are described for complete, complex, and syndromic syndactylies. Outcomes for simple syndactyly release are typically good when surgical principles are followed, whereas complex syndactyly release tends to have less-favorable outcomes and more complications.

Citing Articles

Polydactyly and syndactyly linked to GLI3 and TBX5 mutations: A pediatric case report.

Leonardi R, Pellino G, Floridia E, Lo Bianco M, Ruggieri M, Cho S Glob Med Genet. 2025; 12(1):100033.

PMID: 39925448 PMC: 11800310. DOI: 10.1016/j.gmg.2024.100033.

Comparison Between Surgical Techniques for Correction of Congenital Syndactyly: A Systematic Review and Meta Analysis.

Schirlo J, Saad Cleto A, Beltrame D, Beltrame M, Scortegagna T, Martins C Hand (N Y). 2024; :15589447241279456.

PMID: 39302026 PMC: 11559772. DOI: 10.1177/15589447241279456.

Contemporary Management of the Upper Limb in Apert Syndrome: A Review.

Khabyeh-Hasbani N, Lu Y, Baumgartner W, Mendenhall S, Koehler S Plast Reconstr Surg Glob Open. 2024; 12(8):e6067.

PMID: 39148509 PMC: 11326471. DOI: 10.1097/GOX.0000000000006067.

Optimizing Surgical Outcomes in Congenital Syndactyly: Evaluation of Flap and Graft Techniques in Older Pediatric Patients.

Phan M, Truong Q, Ho Nguyen T, Ngo Thi D, Nguyen P Cureus. 2024; 16(7):e64559.

PMID: 39144863 PMC: 11323189. DOI: 10.7759/cureus.64559.

Optimal timing for plastic surgical procedures for common congenital anomalies: A review.

Goel A, Goel A World J Clin Pediatr. 2024; 13(2):90583.

PMID: 38947997 PMC: 11212758. DOI: 10.5409/wjcp.v13.i2.90583.

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