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Garza de la Llave et al. Plast Aesthet Res 2017;4:70-5 Plastic and
DOI: 10.20517/2347-9264.2016.108
Aesthetic Research

www.parjournal.net
Case Report Open Access

Resolution of 2nd, 3rd or 4th interdigital

space incomplete, simple syndactyly using

a random vascularity flap

Heriberto Garza de la Llave , Yusef Jiménez Murat , Alejandro Ángel Corona Figueroa 2
1
1
1 Hand Surgery Clinic, Plastic and Reconstructive Surgery Department, Hospital General Dr. Manuel Gea González, Mexico City 14080, Mexico.
2 Facultad Mexicana de Medicina, Universidad La Salle, Mexico City 14000, Mexico.
Correspondence to: Dr. Heriberto Garza de la Llave, Hand Surgery Clinic, Plastic and Reconstructive Surgery Department, Hospital General Dr. Manuel
Gea González, Av. Calzada de Tlalpan 4800 Col. Sección XVI, Deleg. Tlalpan, Mexico City 14080, Mexico. E-mail: dr.garzadelallave@gmail.com

How to cite this article: Garza de la Llave H, Jiménez Murat Y, Corona Figueroa AÁ. Resolution of 2nd, 3rd or 4th interdigital space incomplete, simple
syndactyly using a random vascularity flap. Plast Aesthet Res 2017;4:70-5.

ABSTRACT
Article history: Syndactyly consists of a variable fusion of soft tissue or of bone in adjacent fingers. This
Received: 20-12-2016 has important aesthetic and functional impacts on the development of the child due to the
Accepted: 28-03-2017 abnormal appearance of the hand. When the 1st web space is affected, it compromises
Published: 27-04-2017 grasp and development of the clamp function. Affliction of the 2nd, 3rd or 4th webspaces
hinder the independent movement of the fingers adjacent to it. Current syndactyly release
Key words: techniques have inherent disadvantages such as the use of skin from both the interdigital
Syndactyly, halves of the syndactylized fingers, the need to skin graft the donor site, postoperative
interdigital space, flexion contracture, and need of 2 or more surgical procedures to obtain the desired result.
flap, The authors present 7 cases with incomplete simple 2nd, 3rd or 4th webspace syndactylies
skin graft of multiple etiologies. All cases were treated at the unit of the corresponding author. The
flap used in the treatment for all 7 cases did not require skin grafting of the flap donor site
and used only skin from one of the fingers, while achieving a webspace dimension similar
to normality, with a short recovery period. Furthermore, there were no postoperative finger
contractures, diminishing the risk of future relapse.

INTRODUCTION only skin and soft tissue between the affected fingers,
whereas complex syndactyly has additional bony
Syndactyly is one of the most common congenital involvement. The distinction between a complete and
anomalies, with an incidence of 1 in 2,000-2,500 incomplete syndactyly is determined by the extent
live births. [1-3] The etiology of syndactyly can be of fusion in the proximal-distal axis. A complete
broadly divided into either congenital or acquired, syndactyly occurs when fusion involves the entire
with the latter predominantly secondary to burns. Its webspace from commissure up to and including
classification is based on the degree of soft tissue the nail fold. The incomplete syndactyly in contrast,
and bony involvement. Simple syndactyly affects encompasses all fusions from the commissure that
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