Complete complex syndactyly
presents a number of problems, including
lack of adequate pulp soft tissue on the adjacent sides of the
fingertips: there is none. There are three technical approaches for
this problem: local flaps, skin grafts and composite tissue
grafts. This is an example of the use of composite toe pulp grafts. |
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Complex complete bilateral
middle-ring syndactyly. |
The same procedure was
performed bilaterally at the same setting. Composite skin-subcutaneous
tissue grafts were
harvested from the lateral aspect of the great toe and transferred to
the adjacent sides of the separated fingertips. |
Final contour is more full
than graft or local flap reconstruction. |
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