Research Article| Volume 1, ISSUE 1, P1-13, February 2001

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  • Scott H Kozin
    Address reprint requests to Scott H. Kozin, MD, Shriners Hospitals for Children, 3551 North Broad Street, Philadelphia, PA 19140
    Shriners Hospitals for Children, Philadelphia, PA, and the Department of Orthopaedic Surgery, Temple University, Philadelphia, PA
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      Syndactyly is a common congenital anomaly that interferes with normal hand function. Inheritable, spontaneous, and syndromic forms have been identified with various similarities and dissimilarities. Inheritable syndactylism is associated with genetic defects involving particular candidate regions on the second chromosome. Syndactyly separation follows established principles with regard to timing, technique, and postoperative management. Early release of border digits is mandatory to promote function and prevent contracture. Proper flap design provides commissure reconstruction and avoids the use of skin graft within the web space. Identification of neurovascular anomalies and preservation of critical vascular inflow preserves digital perfusion. Postoperative dressings provide compression to skin-grafted areas and protection to the underlying digits. Adherence to recognized principles yields acceptable results, although complications can emerge requiring additional management. Copyright © 2001 by the American Society for Surgery of the Hand
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