The modified V-Y dorsal metacarpal flap for repair of syndactyly without skin graft.

摘要: Background: Syndactyly repairs that use full-thickness skin grafts risk graft-related complications. The dorsal V-Y advancement flap offers a method of syndactyly release can eliminate the need for in some cases simple syndactyly. Methods: A retrospective case series all patients undergoing without grafting performed by senior author (B.C.) between 1998 and 2007 was conducted. All outpatient inpatient charts were reviewed pertinent patient demographics clinical outcomes, including incidence web creep, hypertrophic scarring, flexion contracture, infection, angulation deformity, limited range motion, ischemia, reoperation. Results: total 28 syndactylies included study: 25 incomplete three complete. Mean follow-up time 4.2 years. operative 68 minutes. Two (7.1 percent) experienced postoperative complications; both corrected subsequent revision. Conclusion: graft is an effective repair primarily