title: Contrary intermittent skin release of complete syndactyly without skin graft in adults.
abstract: BACKGROUND
  There are many different surgical treatment techniques of complete syndactyly. Most of them are techniques involving using skin grafts. We developed a surgical technique that does not require skin grafts, which cause problems in the distal nail border pulp and interdigital web space.
  
  
  METHODS
  Syndactyly release was performed in 12 web spaces of 11 adult male patients. The average age was 21. In addition to a zig-zag incision, contrary intermittent skin release was performed. Primary coverage of the interdigital web space and nail border pulp was achieved without skin graft.
  
  
  RESULTS
  We obtained good results by the contrary intermittent skin release method that we developed, in adult complete syndactyly patients who had no chance for the surgical treatment due to several reasons, previously.
  
  
  CONCLUSIONS
  With such a surgical technique, in our cases we obtained successful results, both cosmetic and functional. The presented technique is an alternative method for syndactyly release without using skin graft in adult patients.
authors.affiliation: Department of Orthopedics and Traumatology, Kirikkale University, Faculty of Medicine, Kirikkale, Turkey. ozgurcetik@hotmail.com
authors.forename: Ozgur
authors.initials: O
authors.lastname: Cetik
authors.forename: Baris K
authors.initials: BK
authors.lastname: Ozsar
authors.forename: Fatih
authors.initials: F
authors.lastname: Eksioglu
authors.forename: Murad
authors.initials: M
authors.lastname: Uslu
authors.forename: Gulten
authors.initials: G
authors.lastname: Cetik
mesh_terms: D000328:Adult; D062109:Dermatologic Surgical Procedures; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods; D016038:Skin Transplantation; D013576:Syndactyly / Q000601:surgery*; D016896:Treatment Outcome