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A Journal on Orthopedics and Traumatology

Official Journal of the Piedmontese-Ligurian-Lombard Society of Orthopedics and Traumatology
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Minerva Ortopedica e Traumatologica 1999 August;50(4):147-50

language: Italian

Correction of syndactyly using plastic surgery and graft. A case report

Schiappacasse S., Tornago S., Ferrando R., Capurro S.


This study aimed to demonstrate the efficacy of our technique of plastic surgery and graft for the correction of syndactyly, one of the most frequent pathologies observed in congenital malformations. The 14-year-old patient presented syndactyly of the 2nd and 3nd right toes and wished to undergo surgery not only for cosmetic reasons, but also because of pain caused when walking and running. A modified version of Flatt's technique was used to create a Z-plasty combined with a V-shaped skin flap turned back onto the plantar side with a linear incision on the dorsal side; in order to ensure complete skin cover, full-thickness skin grafts were taken from the medial side of the thigh. After three weeks' rest, without load, the patient resumed physical activities without pain when walking. In addition to the excellent cosmetic results, surgery was well tolerated by the patient and no complications were observed. Our technique is innovative compared to those reported in the literature owing to both the method of incision and the possibility of being used in adolescent patients. Moreover, this technique reduced recovery times and was free from complications. Lastly, optimal cosmetic results were achieved using this technique.

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