title: A new surgical procedure for little toe polysyndactyly without skin graft.
abstract: We developed a new operative procedure involving the combination of 5 flaps to treat little toe polysyndactyly. We applied this procedure to 4 toes of 3 patients who had severe polysyndactyly involving skin fusion of the area from the distal interphalangeal joint to the periphery. In all 3 patients, this procedure allowed easy transfer of the flaps, caused no tension to the wound during skin suturing, and did not disrupt blood flow through the flap. The morphology of all 4 toes was favorable, and no scarring was evident. A sufficiently deep fourth interdigital space was created with this procedure without the need for skin grafting.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Akita Red Cross Hospital, Akita, Japan. Naoshige@archosp-1998.com
authors.forename: Naoshige
authors.initials: N
authors.lastname: Iida
authors.forename: Ayako
authors.initials: A
authors.lastname: Kotake
mesh_terms: D005260:Female; D006801:Humans; D007223:Infant; D019637:Orthopedic Procedures / Q000379:methods; D013524:Surgical Flaps; D013576:Syndactyly / Q000601:surgery*; D014034:Toes / Q000002:abnormalities* / Q000601:surgery