Release of partial syndactyly using a trident flap without skin grafting

Author:

Guero Stéphane12

Affiliation:

1. Institut de la Main, Clinique Bizet, Paris, France

2. Hôpital Necker-Enfants Malades, Université Paris Descartes, Paris, France

Abstract

We reviewed outcomes of a modified trident flap technique in 83 patients for a series of partial syndactyly releases performed by a single operator over 30 years. Only patients with at least 3 years of follow-up (range 3 to 27 years) were included. One-hundred and twenty-seven procedures were performed for 83 patients, and no cases of flap necrosis occurred. Three hands had Grade 1 web creep on Withey’s semi-quantitative scoring system, and two had Grade 2 web creep. Revision surgery was required for one minor contracture and one intermediate contracture. Abduction angles of up to 30° were measured for operated adjacent fingers. The mean satisfaction score of the child or parents on the visual analogue scale was 1.1. The trident flap is a safe procedure, with excellent functional and cosmetic outcomes. The residual scarring is limited to the web, and there is no scarring on the dorsum of the hand. Level of evidence: IV

Publisher

SAGE Publications

Subject

Surgery

Cited by 3 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Recent Advancements in the Diagnosis and Treatment of Congenital Hand Differences;Journal of the American Academy of Orthopaedic Surgeons;2023-06-28

2. Reliability and validity of Vancouver Scar Scale and Withey score after syndactyly release;Journal of Pediatric Orthopaedics B;2022-05-03

3. The use of abdominal flaps for complex syndactyly release: a case series;Journal of Hand Surgery (European Volume);2021-01-10

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