[Results of surgical treatment in simple syndactily using a commissural dorsal flap. About 54 procedures].
OBJECTIVE
The authors evaluate their results of congenital syndactyly correction using a classic commisural dorsal flap technique and full thickness skin grafts to cover the lateral and medial aspect of the fingers.


METHODS
It is a retrospective study on a homogeneous series of 38 children (54 simple syndactylies) operated over a 10-year period. Twenty-two children were included with a mean follow-up of five years and 10 months.


RESULTS
This technique is reliable, reproducible, with a low rate of complications (only four complications requiring reoperation). Long-term outcomes are satisfactory in 92% of cases.


CONCLUSIONS
This is an effective technique, restoring the natural shape of the web space. Procedures without skin-graft are less time-consuming in terms of operational time and cosmetically acceptable, but still need to prove their worth.
Frick
L
L
Service de Chirurgie Infantile, Hôpital Jeanne-de-Flandre, CHRU de Lille, Université de Lille-2, Lille, France. lfrick@hotmail.fr
Fraisse
B
B
Wavreille
G
G
Fron
D
D
Martinot
V
V
D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D005260:Female; D005385:Fingers / Q000002:abnormalities*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D010290:Parents; D017060:Patient Satisfaction; D010549:Personal Satisfaction; D012189:Retrospective Studies; D016038:Skin Transplantation; D013524:Surgical Flaps; D013576:Syndactyly / Q000145:classification / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome