Foot Web Space Transfer for Congenital Syndactyly

Syndactyly of the hand is commonly treated using local flaps with skin grafts; however, contractures and/or pigmentation pose a challenge, requiring repeated surgery. Here, we describe a case of a 1-year-old boy who underwent web transplantation for syndactyly. To the best of our knowledge, no "...

Full description

Saved in:
Bibliographic Details
Published in:Plastic and reconstructive surgery. Global open 2020-12, Vol.8 (12), p.e3292-e3292
Main Authors: Tomioka, Yoko Katsuragi, Narushima, Mitsunaga, Yamashita, Shuji, Ito, Asuka, Okazaki, Mutsumi
Format: Article
Language:English
Subjects:
Case Report
Reconstructive
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Syndactyly of the hand is commonly treated using local flaps with skin grafts; however, contractures and/or pigmentation pose a challenge, requiring repeated surgery. Here, we describe a case of a 1-year-old boy who underwent web transplantation for syndactyly. To the best of our knowledge, no "web for web" transplantations have been documented in pediatric literature. Because the patient had an "extra" web space, functional and aesthetic reconstruction was performed with careful preparation. The vascular pattern was assessed using high-resolution ultrasonography. The flap was harvested under a microscope, intravascular stenting was performed for secure anastomosis, and the adequacy of circulation in the flap was verified using the indocyanine green test. Each technique in the procedure used by us contributed to making the microsurgery safer. The present case suggests that "web for web" is a favorable treatment option for some cases, although these would be limited in number.
ISSN:2169-7574
2169-7574
DOI:10.1097/GOX.0000000000003292