title: Tissue Expansion Technique for Desyndactylization of Toes Using an External Fixator.
abstract: We present an alternative technique for desyndactylization of toes using soft tissue traction with an external fixator. This method allows for tissue expansion for subsequent skin plasty, thereby avoiding the need for a graft or complicated local skin rearrangement. The use of the conventional acute correction technique can create more scarring and might increase the potential for complications, especially if the graft is obtained from a remote site. We believe that this technique provides a satisfactory functional and cosmetic outcome. This method has the potential to minimize postoperative complications, provide functional digits, and allow for good cosmetic results.
authors: Podiatry Residency Director, Department of Orthopedic Surgery, Mount Sinai Beth Israel, New York, NY.
authors: David
authors: D
authors: Gitlin
authors: Department of Orthopedic Surgery, Mount Sinai Beth Israel, New York, NY. Electronic address: vmalezhik@chpnet.org.
authors: Vera
authors: V
authors: Malezhik
authors: Department of Orthopedic Surgery, Mount Sinai Beth Israel, New York, NY.
authors: Krum G
authors: KG
authors: Georgiev
mesh_terms: D016267:External Fixators; D005500:Follow-Up Studies; D005532:Foot Deformities, Congenital / Q000601:surgery; D006801:Humans; D019637:Orthopedic Procedures / Q000295:instrumentation* / Q000379:methods; D018570:Risk Assessment; D013576:Syndactyly / Q000175:diagnosis / Q000601:surgery*; D015626:Tissue Expansion / Q000379:methods*; D014034:Toes / Q000002:abnormalities* / Q000601:surgery; D016896:Treatment Outcome
keywords: desyndactylization; external fixator; toes