The three-square-flap method for reconstruction of minor syndactyly

Bandoh, Yukihiro; Yanai, Akira; Seno, Hisakazu

doi:10.1016/s0363-5023(97)80128-1

Cited by 21 publications

(10 citation statements)

References 24 publications

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“…Greuse et al 12 in 2001 reported the evaluation of 16 patients presenting 24 syndactylies in two years. Works that include the highest number of patients are those of Bandoh et al 8 in 1997 with 58 patients in nine years; D'Arcangelo et al 9 in 1996 with 50 cases and 122 syndactylies in nine years, and the impressive study with 681 patients in 20 years in the study of Muzaffar et al 13 published in 2004. In our midst Barboza et al 14 in 2006 reported experience with 13 patients in two years, and Cortez et al 15 with 72 patients in five years in 2010.…”

Section: Discussionmentioning

confidence: 99%

Análise casuística da sindactilia congênita: experiência com 47 pacientes

et al. 2013

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Objective To assess and report clinical data from patients with syndactyly. Methods A retrospective review of 47 patients treated between April 2002 and April 2012. Results Among the 47 analyzed patients, 33 (70%) were male and 14 (30%) female. The total number of syndactylies was 116. The right hand was affected in 19 patients (40%), the left hand in 12 (24%) and 31 (36%) were bilaterally compromise. Sixteen patients (34%) also presented genetic syndromes. Among the 31 (66%) patients without syndromes, 12 (39%) had isolated syndactyly and 19 (61%) presented association with other hand anomalies. The third web space was affected 45 (39%) times; the fourth, 35 (30%) times; the second, 22 (19%) times and the first web space 14 (22%) times. Simple syndactyly was found 68 (59%) times, complete syndactyly in 44 (65%) and incomplete in 24 (55%). Complex syndactyly was found 48 (41%) times. Conclusion The results in this study are similar to the literature. Epidemiological Study.

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Section: Discussionmentioning

confidence: 99%

Análise casuística da sindactilia congênita: experiência com 47 pacientes

et al. 2013

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“…30,31 Since then, a myriad of graft-free techniques has been described (►Table 2). [30][31][32][33][34][35][36][37][38][39][40][41][42] No single technique has been identified as a gold standard for surgical correction. However, the most common techniques involve a pedicled dorsal metacarpal artery flap that receives numerous small contributory vessels.…”

Section: Surgical Release Without Skin Graftingmentioning

confidence: 99%

Syndactyly Release

Braun

Trost

Pederson

2016

Seminars in Plastic Surgery

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“…It has been reported that the best age to correct syndactyly is from 1 to 2‐years‐old, which is good for a child's mental health, as well as for foot morphology and development. The traditional method of syndactyly correction includes skin grafts and local flaps, and many reconstruction techniques have been described over the years. However, skin grafts are used on the web and a lateral side, or part of a lateral side, of the toe in most of the methods described above, which might result in a poor pigmentation match of the skin grafts and remaining scars on the dorsal side.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of a Distal Foot Skin Defect Using an Intermediate Dorsal Neurocutaneous Flap

Liu

Tan

Tao

et al. 2020

Orthopaedic Surgery

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Objective: To present the use of an intermediate dorsal neurocutaneous flap for the reconstruction of defects on the distal foot.Methods: From September 2016 to October 2018, five patients (mean age at operation 33.8 years; range, 7-70 years; female/male = 2/3) with skin defects on one of their feet caused by road-traffic accidents, electrical injury, and syndactyly correction were retrospectively reviewed. The size of the defects ranged from 2.0 cm × 1.0 cm to 5.0 cm × 3.5 cm. All patients had undergone a reconstruction surgery using intermediate dorsal neurocutaneous flap. One patient underwent a syndactyly correction, and four patients first experienced aggressive debridement. The sizes of the flaps were between 5.0 cm × 2.0 cm and 6.0 cm × 4.0 cm. The function, appearance, and pain of the injured foot were assessed using the Chinese Manchester Foot Pain and Disability Index and visual analogue scale.Results: These five patients were systematically followed up for a mean of 15.8 months (range, 12-20 months). The donor sites were closed primarily in two cases, and skin grafts were performed in three cases. All the flaps survived with a success rate of 100%; the wounds healed well, and the color matches were excellent. Partial superficial flap necrosis occurred in one of five flaps, which was treated by dressing change using a hypertonic saline gauze. No significant problems were found at the donor site in any patient immediately afterwards or at follow-up. There were no problems in any patients associated with wearing shoes. Based on the Chinese Manchester Foot Pain and Disability Index, four patients were strongly satisfied and one was satisfied with the recovery of physical function; all the patients were strongly satisfied with the appearance of the injured foot; all five patients had an excellent score of pain intensity subscale. Except for one patient who reported mild pain, all the other patients reported no pain based on the visual analogue scale. Two typical cases are presented in this paper. Conclusions:The intermediate dorsal neurocutaneous flap is an alternative and effective technique that can reliably cover minor-to medium-sized defects on the distal foot, toes, and web spaces. This surgical method leads to satisfactory functional recovery with minimal donor site morbidity, and no major vessels need to be sacrificed. This procedure offers an advisable option for orthopaedic surgeons to treat defects on the distal foot.

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The three-square-flap method for reconstruction of minor syndactyly

Cited by 21 publications

References 24 publications

Análise casuística da sindactilia congênita: experiência com 47 pacientes

Análise casuística da sindactilia congênita: experiência com 47 pacientes

Syndactyly Release

Reconstruction of a Distal Foot Skin Defect Using an Intermediate Dorsal Neurocutaneous Flap

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