The use of a double-wing flap without skin graft for congenital syndactyly / 中华整形外科杂志

ABSTRACT

Objective@#To introduce a new surgical technique for the correction of congenital syndactyly without skin grafts.@*Methods@#The technique consists of a dorsal double-wing flap created from the dorsal skin of the metacarpophalangeal joint to cover the newly released web space and zigzag incisions in the fingers, thus avoiding the use of skin grafts in this area.@*Results@#From May 2010 to October 2016, 35 web spaces in 24 patients were treated using this technique. There were no complications such as haematoma, infection or flap necrosis. The average follow-up time was 54 months (range, 6 months to 60 months). One of the 35 webs developed web creep. No patients developed flexion contractures. All webs had good appearance with 45 degrees inclination from dorsal to palmar. All fingers had no obvious scar, and the flexion and abduction function were good.@*Conclusions@#The technique is simple, rapid, safe and easily performed and does not require the use of skin grafts.