Plane-shaped flap for reconstruction of the web space in polysyndactyly of the fifth toe fused with the fourth toe
10.3760/cma.j.issn.1671-0290.2019.06.016
- VernacularTitle: 飞机形皮瓣成形趾蹼修复第4、5趾多并趾畸形
- Author:
Youjing WANG
1
;
Weimin SHEN
;
Jie CUI
;
Yi JI
;
Haini CHEN
;
Jun YAN
;
Qingwen GAO
;
Tao HAN
;
Jijun ZOU
Author Information
1. Department of Burn and Plastic Surgery, Children＇s Hospital Affiliated to Nanjing Medical University, Nanjing 210008, China
- Publication Type:Clinical Trail
- Keywords:
Reconstructive surgical procedures;
Child;
Polysyndactyly of the toes;
Syndactyly;
Web space reconstruction;
Plane-shaped flap
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2019;25(6):500-503
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss the application of plane-shaped flaps for reconstruction of the web space in polysyndactyly of the fifth toe fused with the fourth toe.
Methods:A total of 62 cases (81 feet) with polysyndactyly of the fifth toe fused with the fourth toe were involved in the study, 53 of which were incomplete and 9 were complete fusion of the fourth and fifth toe. The fifth toe showed various degrees of fibular clinodactyly and minor deformities. Excision of polydactyly and then using arthroplasty or osteotomy correction deviation was for fibular clinodactyly. All plane-shaped flaps were used for reconstruction of the web space deeply, and the lateral sides of toes were closed with flaps and the distal soft tissues of polydactyly were used lengthening the reconstructed fifth toe. Brachydactylias were improved, and nail folds were reconstructed. Thus, the appearances reached the normal level.
Results:All the webs were reconstructed primarily without skingraft. After 12 months of follow-up, these reconstructed web space were satisfied with good appearances of width, depth and gradient. The fibular clinodactyly was completely corrected, and brachydactylias were corrected in various degrees. Nail folds reached the normal ones.
Conclusions:Plane-shaped flap in polysyndactyly of the fifth toe fused with the fourth toe for reconstruction of the web space is satisfactory. The reconstructed webs not only achieves good appearance, but also avoids skin grafts. It is one of the best choices of the polysyndactyly treatment.
