Long-term results of syndactyly correction: full-thickness versus split-thickness skin grafts.

Abstract

In order to compare the long-term results of full-thickness and split-thickness skin grafts after the correction of congenital syndactyly, 27 patients have been investigated after an average follow-up of 21 years. Post-operative functional and cosmetic results have been assessed by patient records, questionnaires and physical examination. The webs that had received split-thickness grafts showed more flexion and extension lags and the overall spreading of the operated fingers was significantly decreased compared to the control fingers. On the other hand, more re-operations because of web creep had to be performed after full-thickness grafts. Hyperpigmentation and hair growth in the grafts was found in most of the full-thickness grafts, while breakdown of the graft was found in some of the split-thickness grafts. Therefore, based on the results of this study, either full- or split-thickness skin grafts can be used when treating of congenital syndactyly.

• Authors: J Deunk, J P A Nicolai, S M Hamburg
• Journal: Journal of hand surgery (Edinburgh, Scotland) (J Hand Surg Br) Vol. 28 Issue 2 Pg. 125-30 (Apr 2003) ISSN: 0266-7681 [Print] Scotland
• PMID: 12631483 (Publication Type: Journal Article)

Topics

• Adult
• Child, Preschool
• Female
• Follow-Up Studies
• Humans
• Male
• Physical Examination
• Postoperative Complications (epidemiology)
• Reoperation
• Skin Transplantation (methods)
• Surveys and Questionnaires
• Syndactyly (surgery)
• Time Factors