Cross flap in reconstruction of the web space in pediatric congenital toe syndactyly

VernacularTitle:十字形皮瓣成形趾蹼治疗小儿先天性并趾多趾畸形
Author: Fei YIN ¹ ; Xiaofang SHEN ; Jun WANG ; Weifeng LIN
Author Information

1. 苏州大学附属无锡九院小儿骨科　214000
Keywords: Syndactyly; Congenital abnormalities; Surgical flaps; Web space
From: Chinese Journal of Plastic Surgery 2021;37(3):315-318
CountryChina
Language:Chinese
Abstract: Objective:To investigate the effectiveness of cross flap in reconstruction of the web space in congenital toe syndactyly.Methods:From January 2019 to September 2019, 11 patients with congenital toe syndactyly were treated for web space reconstruction with dorsal cross flap. There were 7 boys and 4 girls with the average age of 5.6 years old. There were 6 cases of congenital toe syndactyly located at left foot and 5 cases located at right foot.During follow up, the web space appearance, web space depth, and web space gradient were observed to evaluate the effectiveness.Results:In all cases, there were no skin grafts on the web, root and side of the toe. The incisions were primary healing without infection or necrosis. After 5-14 months follow-up, the depth, width and gradient of the web were normal, and 2 cases had slight cicatricial hyperplasia.Conclusions:The cross flap is easy to design. It has advantages of reliable blood supply, high utilization of skin on the dorsum of toe, without skin grafting and reconstruction of normal toe web.