Surgical Treatment and Outcomes of Syndactyly: A Systematic Review

Author:

Mende Konrad1,Watson Anna1,Stewart David A.1

Affiliation:

1. Department of Hand Surgery and Peripheral Nerve Surgery, Royal North Shore Hospital, The Children’s Hospital at Westmead, Sydney Medical School (University of Sydney), Sydney, Australia

Abstract

Background: Different techniques are used to release simple and complex congenital syndactyly in order to create an adequate web space, and to separate the fingers to allow independent function. Methods: This article is a systematic review of the literature, aiming to evaluate the evidence for the different techniques and outcome measures utilised. Results: The studies consisted mainly of retrospective, non-controlled descriptive series and a few retrospective cohort studies. The level of evidence is predominantly poor. Conclusions: Although recommendations in favour of any particular surgical technique cannot be given based on evidence, a number of conclusions can be drawn out of the existing literature with regards to the design of the incisions for finger separation, use of pulp flaps and grafts.

Publisher

World Scientific Pub Co Pte Lt

Subject

General Medicine

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