Dorsal Hexagon Local Flap Without Skin Graft for Web Reconstruction of Congenital Syndactyly.
PURPOSE
The ideal web reconstruction for syndactyly requires both satisfactory function and aesthetic appearance. In this study, we report a dorsal hexagon local flap with adequate size and that leaves most of the scars in the interdigital space.


METHODS
Between June 2015 and June 2017, 16 patients (10 males and 6 females) with 22 syndactylies underwent surgical reconstruction using the dorsal hexagon local flap technique. All patients had simple syndactyly. The postoperative evaluation included the quality of scarring, the extent of flexion and extension deformity, web creep, lateral flexion deformity, and rotational deformity of the digit.


RESULTS
All flaps survived and there were no postoperative complications. All patients achieved satisfactory interdigital commissure depth. During 12 to 34 months of follow-up, no case of flexion contracture or web creep after reconstruction was noted.


CONCLUSIONS
The dorsal hexagon local flap is an alternative method for syndactyly reconstruction.


TYPE OF STUDY/LEVEL OF EVIDENCE
Therapeutic IV.
['Wang|Sisheng|S|', 'Zheng|Shaoluan|S|', 'Li|Nanzhu|N|', 'Feng|Zihao|Z|', 'Liu|Qi|Q|']
D005260:Female D006801:Humans D008297:Male D019651:Reconstructive Surgical Procedures D016038:Skin Transplantation D013524:Surgical Flaps D013576:Syndactyly D016896:Treatment Outcome
web reconstruction syndactyly Hexagon flap