Szymkiewicz Stanislaw
Department of Urology, Janusz Korczak Provincial Specialist Hospital in Słupsk, Słupsk, POL.
Cureus. 2025 Sep 2;17(9):e91455. doi: 10.7759/cureus.91455. eCollection 2025 Sep.
Syndactyly is a common congenital malformation of the hand, characterized by fusion of adjacent digits. Early surgical correction is recommended to prevent functional limitations and esthetic concerns. We report the case of a three-year-old girl with congenital simple complete cutaneous syndactyly between the third and fourth fingers of the left hand. The fusion was limited to soft tissues, with fully formed and separate fingernails. Surgical separation was performed using interdigital dorsal and palmar Z-plasty incisions, followed by full-thickness skin grafting harvested from the groin donor site. Postoperative recovery was uneventful. At follow-up, the patient demonstrated a normal range of motion, satisfactory esthetic results, and no evidence of web creep or joint stiffness. This case supports the effectiveness and safety of Z-plasty combined with full-thickness skin grafting for the correction of simple syndactyly in early childhood.
并指是一种常见的手部先天性畸形，其特征为相邻手指融合。建议早期进行手术矫正，以防止功能受限和美观问题。我们报告了一例三岁女童的病例，该女童左手第三和第四指之间患有先天性单纯完全性皮肤并指。融合仅限于软组织，指甲完全形成且分开。手术分离采用指间背侧和掌侧Z形皮瓣切口，随后取自腹股沟供区的全厚皮片移植。术后恢复顺利。随访时，患者活动范围正常，美观效果满意，没有蹼状瘢痕挛缩或关节僵硬的迹象。该病例支持Z形皮瓣联合全厚皮片移植在幼儿期矫正单纯并指的有效性和安全性。
