Repair of complete syndactyly by tissue expansion and composite grafts

Ishikura, Naotaka; Heshiki, Takaya; Kimura, Tetsuji; Tsukada, Sadao

doi:10.1016/s0007-1226(95)90128-0

Cited by 11 publications

(4 citation statements)

References 9 publications

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“…Donor defect of the flap requires skin grafting of the sidewalls after separation. However, Although glabrous skin graft is another option, the donor sites are restricted [17,18]. Currently, surgical techniques are inclined to skin graft-free reconstructions to avoid graft-related complications.…”

Section: Discussionmentioning

confidence: 99%

Distally based venous flap: a new technique for the correction of syndactyly without skin graft in adult patients

2009

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Skin grafts and local flaps are conventional methods for repairing simple syndactyly. Skin grafts usually leave unsightly appearance and contracture formation. In this study, unipedicled distally based venous flap were raised from third or fourth metacarpal area of the hand for syndactyly treatment. The distally based venous flap was to provide skin coverage to one side of the finger, in order to avoid complications arising from using skin graft. Nine patients' syndactylies (5 simple incomplete and 4 simple complete syndactyly) were treated using this method. The mean follow-up period of the flaps was 14 months, ranging from 12 to 16 months. Mild edema and venous congestion occurred in all flaps. Superficial necrosis involving two flaps did not affect flap survival. All flaps survived completely. In this article, we have described a new surgical technique for the correction of syndactyly in a single surgical procedure that utilizes a distally based venous flap to provide skin coverage without skin graft.

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Section: Discussionmentioning

confidence: 99%

Distally based venous flap: a new technique for the correction of syndactyly without skin graft in adult patients

2009

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“…When the stratum conium is thick, as may be encountered on the foot, the user soon discovers the need to excise ( and discard ) the upper layer in order to include part of the dermis and yet, still obtains a flexible graft that is easy to handle/lay. Glabrous skin grafts have also been used in the repair of complete syndactyly by tissue expansion and composite grafts 7 . Since the number of patients in this study is few and our experience so far limited, it becomes difficult to make definite conclusions.…”

Section: Discussionmentioning

confidence: 99%

Glabrous skin reconstruction of palmar/plantar defects: A case for reconsideration

Legbo

Opara²,

Yiltok³

2006

Nigerian Journal of Surgical Research

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Background: One basic fact about a Negroid race is that the nonglabrous skin is much more pigmented compared to the glabrous skin. A major disadvantage of nonglabrous skin grafts when used for reconstruction of palmar/plantar defects is the poor cosmetic appearance of the grafted skin. Aside from its normalcy of appearance, glabrous skin grafts yield superior results with improved function and sensation, and increased durability.

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“…As previously stated, some commissural flap designs allow direct closure [20,45,48,[51][52][53][54]; in such cases, resurfacing is achieved through flap positioning and defatting [71], which may compromise flap viability in case of tight suturing [14], as well as leaving the residual defects open [72]. Another option is to prevent cutaneous tissue shortages by performing preoperative tissue expansion, using either an external fixator [73][74][75][76] or subcutaneous devices [77,78]; however, despite satisfactory outcomes reported by different authors, the inherent morbidity of these techniques have limited their use to complex and complicated cases such as Apert's hand [76].…”

Section: Resurfacingmentioning

confidence: 99%