Articles
| Open Access |
DOI:
https://doi.org/10.37547/TAJMSPR/Volume05Issue10-08
DESCRIPTION OF THE ONE FLAP TECHNIQUE FOR THE SURGICAL TREATMENT OF SYNDACTYLY
Leandro Azevedo De Figueiredo , Doctor Ortopedia E Traumatologia Na Fundação Hospitalar Do Estado De Minas Gerais(FHEMIG); Hand And Microsurgery Surgeon Na Faculdade De Ciências Médicas De Minas Gerais, Brazil Bianca Gabriella De Oliveira , Medical Student At The University Salvador - UNIFACS, Salvador, BA, Brazil Pedro Hemerly Figueiredo , Resident Doctor Ortopedia E Traumatologia Do Hospital Santa Casa De Misericórdia De Vitória, ES, Brazil Marcella Rodrigues Costa Simoes , Doctor Ortopedia E Traumatologia No Hospital Da Baleia, Belo Horizontes, MG; Hand And Microsurgery Surgeon No Hospital Maria Amélia Lins(FHEMIG), Belo Horizonte, MG, BrazilAbstract
Syndactyly is a congenital defect of the fingers or toes that can cause aesthetic and functional problems. In this condition there is a defect in the separation of the parts, according to the Swanson Classification, determined between the sixth and eighth week of intrauterine life and representing approximately 20% of all hand malformations. This pathology is the second most common congenital anomaly of the hand and has an incidence of 1:2000 to 3000 live births. It is one of the most heterogeneous deformities known in the literature, with unilateral, bilateral, symmetrical and asymmetrical variations. It occurs twice as often in boys. The aim of this study is to describe a new skin flap design for the treatment of syndactyly. This is a descriptive study, as it aims to detail the surgical technique using different processes for the treatment of simple or complex, incomplete or complete syndactyly.The study maintains the principles of the digital commissure reconstruction approach, adequate skin coverage and reconstruction of the nail bed, presenting a new flap associated with polypropylene coverage, solving the disadvantages of using a skin graft, such as deformities at the recipient site and morbidity of the donor area.
Keywords
Syndactyly, Surgery, Complications
References
Bisneto, E. N. F. (2013). Deformidades congênitas dos membros superiores. Parte II: falhas de formação e duplicação. Revista Brasileira de Ortopedia, 48(1), 3-10.
Chouairi, F., Mercier, M. R., Persing, J. S., Gabrick, K. S., Clune, J., & Alperovich, M. (2020). National patterns in surgical management of syndactyly: a review of 956 cases. Hand, 15(5), 666-673.
Dib, C. C., Monteiro, C. G. Z., Vieira Filho, J. G. C., & Arzuaga, M. M. (2009). Sindactilia: técnica de Marumo modificada. Rev Bras Cir Plast, 24(1), 110-4.
Figueiredo, L. A. D., Ribeiro, R. D. S., Melo, A. L. B. D., Lima, A. L., Terra, B. B., & Ventim, F. C. (2017). Uso da prótese de polipropileno para o tratamento das lesões em ponta de dedo. Descrição de técnica cirúrgica e resultados☆. Revista brasileira de ortopedia, 52, 685-692.
Kvernmo, H. D., & Haugstvedt, J. R. (2013). Treatment of congenital syndactyly of the fingers. Tidsskrift for Den norske legeforening.
Malik, S. (2012). Syndactyly: phenotypes, genetics and current classification. European Journal of Human Genetics, 20(8), 817-824.
Sullivan, M. A., & Adkinson, J. M. (2017). A systematic review and comparison of outcomes following simple syndactyly reconstruction with skin grafts or a dorsal metacarpal advancement flap. The Journal of Hand Surgery, 42(1), 34-40.
Swanson, A. B. (1976). A classification for congenital limb malformations. The Journal of Hand Surgery, 1(1), 8-22.
Article Statistics
Copyright License
Copyright (c) 2023 Leandro Azevedo De Figueiredo, Bianca Gabriella De Oliveira, Pedro Hemerly Figueiredo, Marcella Rodrigues Costa Simoes
This work is licensed under a Creative Commons Attribution 4.0 International License.