Phan Man D, Truong Quoc H, Ho Nguyen Truc T, Ngo Thi Duyen M, Nguyen Phi D
Orthopaedic Surgery, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, VNM.
Pediatric Orthopaedics, Hospital for Traumatology and Orthopaedics, Ho Chi Minh City, VNM.
Cureus. 2024 Jul 15;16(7):e64559. doi: 10.7759/cureus.64559. eCollection 2024 Jul.
Background Congenital syndactyly is a common congenital hand anomaly that impairs daily activities and impacts both functional and aesthetic outcomes. The fusion of adjacent fingers limits functionality and often requires surgical intervention to restore web spacing, maintain function, and improve appearance. This study evaluates surgical outcomes of congenital syndactyly treatment using flap and graft techniques, focusing on older patients. Methodology This study utilized retrospective data collected from patients aged 2 to 12 years diagnosed with congenital syndactyly. These patients underwent surgical separation procedures employing various flap techniques and full-thickness skin grafts. The chosen methods aimed to minimize scarring, secure optimal blood supply, and reduce postoperative complications. Postoperative assessments included web spacing, aesthetic appearance, and functional recovery. Results Patients generally experienced improved web spacing and proper alignment, with minimal contracture post-surgery. Flap and graft techniques effectively reduced visible scarring and provided favorable cosmetic results. Functional recovery was significant, allowing patients to resume age-appropriate tasks with minimal limitations, thereby restoring confidence in daily activities. Despite not undergoing early surgery, older patients still achieved marked improvements in web spacing, aesthetics, and overall function. Conclusions Surgical treatment of congenital syndactyly using flap and graft techniques significantly enhances both functional and aesthetic outcomes, even when the intervention is delayed beyond the recommended early age. Comprehensive planning and tailored approaches are crucial to achieving optimal web spacing, minimized scarring, and restored hand function. These measures ultimately improve the quality of life for patients, regardless of age at the time of surgery.
先天性并指是一种常见的先天性手部畸形，会影响日常活动，并对功能和美观效果产生影响。相邻手指的融合限制了功能，通常需要手术干预来恢复指蹼间距、维持功能并改善外观。本研究评估了使用皮瓣和植皮技术治疗先天性并指的手术效果，重点关注年龄较大的患者。
本研究利用从2至12岁被诊断为先天性并指的患者收集的回顾性数据。这些患者接受了采用各种皮瓣技术和全厚皮片移植的手术分离程序。所选用的方法旨在尽量减少瘢痕形成、确保最佳血液供应并减少术后并发症。术后评估包括指蹼间距、美观外观和功能恢复情况。
患者的指蹼间距通常得到改善且排列正常，术后挛缩最小。皮瓣和植皮技术有效减少了可见瘢痕，并提供了良好的美容效果。功能恢复显著，使患者能够在极少限制的情况下恢复适合其年龄的活动，从而恢复对日常活动的信心。尽管未接受早期手术，但年龄较大的患者在指蹼间距、美观度和整体功能方面仍取得了显著改善。
使用皮瓣和植皮技术对先天性并指进行手术治疗可显著提高功能和美观效果，即使干预延迟至推荐的早期年龄之后。全面规划和量身定制的方法对于实现最佳指蹼间距、最小化瘢痕形成和恢复手部功能至关重要。这些措施最终改善了患者的生活质量，无论手术时的年龄如何。
