title: [Application of dorsal pentagonal flap for reconstruction of the web space in congenital syndactyly].
abstract: OBJECTIVE
  To investigate the therapeutic effect of dorsal pentagonal flap for reconstruction of the web space in congenital syndactyly.
  
  
  METHODS
  From October 2007 to August 2009, 10 patients with congenital syndactyly were treated with dorsal pentagonal flap for web space reconstruction. During the follow-up period, the patients underwent finger functional assessment and web space appearance examination. The satisfactory rate of patients was also investigated.
  
  
  RESULTS
  10 patients with 17 reconstructed web spaces were followed up for 4-25 months (median, 15 months). Normal passive flexion and extension of fingers were achieved with good cosmetic result at web space. The abduction angle of fingers ranged from 30 degrees to 45 degrees. No web creep occurred and no secondary procedures were required. All the parents of the patients were satisfied with the results.
  
  
  CONCLUSIONS
  Web space reconstruction with dorsal pentagonal flap is easily performed with reliable blood supply and low re-operated rate. The cosmetic and functional result is satisfactory.
authors.affiliation: Department of Hand and Plastic Surgery, The 2nd Affiliated Hospital of Wenzhou Medical College, Wenzhou 325000, China.
authors.forename: An-Yuan
authors.initials: AY
authors.lastname: Wang
authors.forename: Wei-Yang
authors.initials: WY
authors.lastname: Gao
authors.forename: Xue-Guan
authors.initials: XG
authors.lastname: Xie
authors.forename: Xin
authors.initials: X
authors.lastname: Zheng
authors.forename: Yi-Peng
authors.initials: YP
authors.lastname: Zhang
authors.forename: Guo-You
authors.initials: GY
authors.lastname: Zhang
mesh_terms: D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D013524:Surgical Flaps; D013576:Syndactyly / Q000601:surgery*; D016896:Treatment Outcome