Abstract
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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References
References
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Article info
Publication history
1531-0914/01/0101-0001$35.00/0
Identification
Copyright
© 2001 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
