An Investigation of Bilateral Syndromic Syndactyly Treated by Release and Full-thickness Skin Grafting: A Case Report

Ramesh Muthu; Raffael Bin Ismail; Kamarul Ariffin Bin Khalid; Surekha Kaneson; Agus Iwan Foead

Ramesh Muthu Department of Orthopaedic, International Islamic University Malaysia Medical Centre (IIUMMC), Kuantan, Malaysia.
Raffael Bin Ismail Department of Orthopaedic, International Islamic University Malaysia Medical Centre (IIUMMC), Kuantan, Malaysia.
Kamarul Ariffin Bin Khalid Department of Orthopaedic, International Islamic University Malaysia Medical Centre (IIUMMC), Kuantan, Malaysia.
Surekha Kaneson Department of Emergency Medicine, Port Dickson Hospital, Port Dickson, Negeri Sembilan, Malaysia.
Agus Iwan Foead Department of Orthopaedic Surgery, Perdana University-Royal College of Surgeons in Ireland, Serdang, 43400 Selangor, Malaysia.

Keywords: Complex syndactyly, release, full-thickness skin grafting, syndromic, staged release

Abstract

Syndactyly is one the commonest seen anomalies in hand or plasty surgery clinics nowadays. The timing and orderly steps of surgery dictate the surgery on syndactyly. The goal of surgery is non other than creation of a normal anatomical webspaces, a tension-free closure of soft tissue and return of functions to the fingers. Numerous surgical methods have been described, many of which involve the use of local ?aps to reconstruct the commissure and full-thickness skin grafts for coverage of the raw area. In this report, we described a bilateral syndromic syndactyly treated by release and full-thickness skin grafting from groin. Staged release of complex (four digit) syndactyly is utmost important and clinical result is very good.