congenital syndactyly separation with dorsal rectangular flap in Yemen

Abstract

Background: congenital hand Syndactyly is prevalent with substantial aesthetic and functional implications, so the surgical separation of the fused fingers is essential in order to restore the hand function, enhance appearance and facilitate normal hand growth with less complications and procedures.

Patients and Methods: the study is descriptive prospective study is carried on 31 webs of 18 casas underwent surgical repair of congenital syndactyly during the period from august 2021 to august 2023 of different age and sex performed in Al- gumhori Teaching Authority Hospital, Elite and police hospital.

Results: the age of study population ranged between 2 - 25 years and majority of the patients belong to age group above 13 years (66.7%), (N= 12) patients with median age of study 17.92 years, most of them are female with common web involved between middle - ring fingers in (44.5%) (N=8) patients and frequently presented with simple complete syndactyly in (55.6%)  (N=10), complex 22% and complicated 16.6%, the reconstructive technique is dorsal rectangular flap with zig-zag interdigitating flaps and the remaining raw area resurfaced with full thickness skin graft. the outcomes in this technique is good results 90.4% with little complications 9.6%, the most complications related to skin graft as skin infections 2 webs, maceration of flap 1 webs, partial graft loss 2 webs.

Conclusion: the dorsal rectangular flap technique preferred due to simple design and easy modify during operation with smooth mobilize the dorsal skin to achieve more natural web space which can applied in majority of syndactyl types with low complication rate, and related to its simplicity can be easily procreation by training doctors.