title: Anatomic correction of polysyndactyly of the fifth toe fused with the fourth toe.
abstract: A new surgical technique for correction of polysyndactyly with the fifth toe fused with the fourth toe was devised. The technique consists of the creation of a dorsal rectangular flap on the dorsum of the syndactyly web for the new fourth web, making a medially based plantar rectangular flap on the plantar surface of the fifth toe, and a sixth toe-tip-based rectangular hinge flap to reconstruct the lateral side of the fourth toe and medial side of the new fifth toe, respectively. All suture lines are intended to be located in the transition of the plantar and dorsal surfaces of the web and digit. This technique is characterised by accurate anatomic reconstruction, which produces better aesthetic results with no wasting of any skin components.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Dongsan Medical Center, Keimyung University, 194 Dongsan Dong, Daegu 700-712, South Korea. handson@dsmc.or.kr
authors.forename: Daegu
authors.initials: D
authors.lastname: Son
authors.forename: Hyunji
authors.initials: H
authors.lastname: Kim
authors.forename: Junhyung
authors.initials: J
authors.lastname: Kim
authors.forename: Kihwan
authors.initials: K
authors.lastname: Han
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D013524:Surgical Flaps; D013576:Syndactyly / Q000601:surgery*; D014034:Toes / Q000002:abnormalities* / Q000601:surgery; D016896:Treatment Outcome