Syndactyly correction of the hand in Apert syndrome

R. M. Zuker, H. J. Cleland, T. Haswell

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Abstract

Surgical correction of syndactyly of the Apert hand should begin by 6 months and be completed by 3 years of age. As much surgery as possible is carried out at each sitting. Digit separation should be in order of functional importance. The first web space is deepened with a four-flap Z-plasty or a dorsal skin flap from the web and index finger. Syndactyly release using a dorsal flap and zig-zag technique is used to create the second and fourth web spaces. The complex long-ring syndactyly often requires a pedicled groin flap for reconstruction and preservation of growth potential. A five-digit hand can be achieved with adequate grasp and stable, sensate, well-aligned digits. These children can attain some degree of independent finger motion and aesthetically acceptable hands with this approach.

Original languageEnglish
Pages (from-to)357-364
Number of pages8
JournalClinics in Plastic Surgery
Volume18
Issue number2
Publication statusPublished - Apr 1991
Externally publishedYes

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