Abstract

The treatment of complex and complicated syndactyly with regards to the coverage of exposed phalanges is still a disputable problem up to the present. Thus, a lot of procedures are suggested such as to use abdominal flap and using thenar flap to cover wound after separation of phalanges. The abovementioned procedures can separate the osseous fusion of the distal phalanges but the operations are tedious and complicated and need to be done in two stages.
We reported three cases of complex syndactyly with 5 hands involved, total seven web spaces were separated in this article. We use the Gramcko's procedure by designing a triangular skin flap to cover the wound after separation of the osseous fusion and all cases were done in one stage operation with acceptable functional and cosmetic results.
Original languageEnglish
Pages (from-to)298-303
Number of pages6
Journal中華民國整形外科醫學會雜誌
Volume11
Issue number4
Publication statusPublished - 2002

Fingerprint

Syndactyly
Bone and Bones
Wounds and Injuries
Cosmetics
Hand
Skin

Keywords

  • complex syndactyly
  • acrosyndactyly
  • Gramcko's triangular flap
  • distal phalangeal fusion

Cite this

Gramcko's Triangular Flap for Separation of Syndactyly with Terminal Bone Bridge. / Lau, Kwork-Wai; Wang, Jia-Yi; Chen, Chieh-Feng.

In: 中華民國整形外科醫學會雜誌, Vol. 11, No. 4, 2002, p. 298-303.

Research output: Contribution to journalArticle

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N2 - The treatment of complex and complicated syndactyly with regards to the coverage of exposed phalanges is still a disputable problem up to the present. Thus, a lot of procedures are suggested such as to use abdominal flap and using thenar flap to cover wound after separation of phalanges. The abovementioned procedures can separate the osseous fusion of the distal phalanges but the operations are tedious and complicated and need to be done in two stages.We reported three cases of complex syndactyly with 5 hands involved, total seven web spaces were separated in this article. We use the Gramcko's procedure by designing a triangular skin flap to cover the wound after separation of the osseous fusion and all cases were done in one stage operation with acceptable functional and cosmetic results.

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