title: [Spare-parts concept in pediatric hand: About one bilateral syndactyly].
abstract: BACKGROUND
  The spare-parts concept is well described in traumatology of the hand. Tissues of a scarified ray are used to reconstruct another damaged finger. We will detail an application in pediatric hand through a clinical case.
  
  
  METHODS
  We describe a patient presenting a bilateral complete and non-complex syndactyly of the third web space associated with a bilateral hexadactyly classified as type B according to the Temtamy and Mc Kusick's classification. The treatment of the syndactyly was performed with a dorsal flap for the web space and with longitudinal zigzag incisions in mirror. Skin loss of the lateral sides of the fingers was covered by the full-thickness graft taken on the supernumerary finger which was treated in the same surgical time.
  
  
  CONCLUSIONS
  This application of the spare-parts concept allows only one surgical site with absence of scar on the donor site and a skin graft close to the skin loss on the finger.
  
  
  CONCLUSIONS
  The spare-parts concept can be applied in some cases of pediatric hand and must be a tool for the surgeon.
authors.affiliation: Service de brûlés-chirurgie plastique, CHU de Nantes, 30, boulevard Jean-Monnet, 44093 Nantes cedex 1, France. Electronic address: marie-victoria.truffandier@orange.fr.
authors.forename: M-V
authors.initials: MV
authors.lastname: Truffandier
authors.affiliation: Service de brûlés-chirurgie plastique, CHU de Nantes, 30, boulevard Jean-Monnet, 44093 Nantes cedex 1, France.
authors.forename: P
authors.initials: P
authors.lastname: Perrot
authors.affiliation: Service de brûlés-chirurgie plastique, CHU de Nantes, 30, boulevard Jean-Monnet, 44093 Nantes cedex 1, France.
authors.forename: F
authors.initials: F
authors.lastname: Duteille
mesh_terms: D005385:Fingers / Q000002:abnormalities* / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods*; D013524:Surgical Flaps; D013576:Syndactyly / Q000601:surgery*
keywords: Doigt-banque; Full-thickness graft; Greffe de peau totale; Main congénitale; Pediatric hand; Spare-parts concept; Syndactylie; Syndactyly