title: The pulp plasty: a composite graft for complete syndactyly fingertip separations.
abstract: Composite grafts of skin and subcutaneous fat harvested from the glabrous non-weight-bearing areas of the foot were used to graft 34 fingertips after separation of 23 complete syndactyly webs in 13 patients. Simple complete syndactylies accounted for 17% and complex complete syndactylies accounted for 83%; synonychia was encountered in 70%. Follow-up averaged 13.9 months (minimum, 2 months, maximum 33 months). All patients had 100% take of the composite graft. Subjective gradings were 94% good, 6% fair, and there were no poor results. This technique provides a relatively normal contour and satisfactory pad to the fingertip.
authors.affiliation: Hand Surgery Service, Texas Scottish Rite Hospital for Crippled Children, Dallas.
authors.forename: T G
authors.initials: TG
authors.lastname: Sommerkamp
authors.forename: M
authors.initials: M
authors.lastname: Ezaki
authors.forename: P R
authors.initials: PR
authors.lastname: Carter
authors.forename: V R
authors.initials: VR
authors.lastname: Hentz
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation; D005385:Fingers / Q000002:abnormalities / Q000601:surgery*; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D016038:Skin Transplantation / Q000379:methods; D013576:Syndactyly / Q000601:surgery*; D016378:Tissue Transplantation / Q000379:methods*