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. 2014 Nov;39(9):984-8.
doi: 10.1177/1753193414523247. Epub 2014 Feb 19.

Results of syndactyly release using a modification of the Flatt technique

A G Barabás  1 , M A Pickford  2
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Results of syndactyly release using a modification of the Flatt technique

A G Barabás et al. J Hand Surg Eur Vol. 2014 Nov.

Abstract

The results of 144 congenital syndactyly releases over a 12-year period by a single surgeon using a modified Flatt technique (dorsal hourglass flap, interdigitating zigzag flaps, and full-thickness skin grafts) are analyzed considering the association of skin grafts and web creep. The mean follow-up was 5 years. There were seven cases of graft failure, only one of which developed web creep. Web creep occurred in 4.2% of web releases. The results suggest that avoiding longitudinal straight-line scars across the web space may be an important factor in avoiding web creep when performing the modified Flatt technique described.

Keywords: Syndactyly; failure; skin grafts; techniques; web creep.

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