title: V-Y and rectangular flap combination for syndactyly repair.
abstract: OBJECTIVE
  For syndactyly repair, several delicate, well-planned flap combination techniques have been reported. This study presents technique details with functional and aesthetic results of a dorsal rectangular and volar V-Y advancement flap combination for web reconstruction and S incisions for finger separation in patients with syndactyly.
  
  
  METHODS
  Ten patients with 16 syndactyly webs were treated. Patients were examined in terms of function and aesthetic. Evaluation criteria included the Vancouver Scar Scale, range of motion, degree of web creeping, parent's satisfaction rates, and finger abduction. During the initial period, vascular compromise of fingers, haematoma, infection, seroma, flap necrosis, or graft failures were not noted in any patients. No patients required revision surgery. During the later period, parent satisfaction scores were excellent or good, finger function was complete, and the Vancouver Scar Scale showed that two webs had hyperpigmented areas and two had supple pliability.
  
  
  CONCLUSIONS
  This simple syndactyly release technique can provide a low rate of web creep, good scar quality, and optimal functional results.
authors.affiliation: a Selcuk University , Department of Plastic Reconstructive and Aesthetic Surgery , Konya , Turkey.
authors.forename: Mehtap
authors.initials: M
authors.lastname: Karamese
authors.affiliation: a Selcuk University , Department of Plastic Reconstructive and Aesthetic Surgery , Konya , Turkey.
authors.forename: Osman
authors.initials: O
authors.lastname: Akdag
authors.affiliation: a Selcuk University , Department of Plastic Reconstructive and Aesthetic Surgery , Konya , Turkey.
authors.forename: Muhammed Nebil
authors.initials: MN
authors.lastname: Selimoglu
authors.affiliation: a Selcuk University , Department of Plastic Reconstructive and Aesthetic Surgery , Konya , Turkey.
authors.forename: Gokce
authors.initials: G
authors.lastname: Unal Yıldıran
authors.affiliation: a Selcuk University , Department of Plastic Reconstructive and Aesthetic Surgery , Konya , Turkey.
authors.forename: Zekeriya
authors.initials: Z
authors.lastname: Tosun
mesh_terms: D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D013524:Surgical Flaps; D013576:Syndactyly / Q000601:surgery*; D016896:Treatment Outcome
keywords: Syndactyly; dorsal rectangular and volar V-Y advancement flap; web space reconstruction