Evaluation of the Plane Shaped Flap in Reconstruction of Congenital Hand Syndactyly

ABSTRACT: BACKGROUND: Time consuming, scar contracture, web creeping is risks with reconstruction by skin graft.  dorsal metacarpal flaps minimize these complications however they still occur. This study is based on                    a plane-shaped advancement flap on the dorsum of the hand and a traction device for webspace to prevent contraction and creeping. THE AIMS: To evaluate the primary closure after releasing of tight syndactyly  and minimizing creeping and contracture of Webspace PATIENTS AND METHODS: From January 2018 to May 2019 ten patients (10 Webspaces), 3 females and 7 males, age ranged               (1-19) have congenital tight hand syndactyly (3 complexes, 5 simple incomplete,2 simple complete) . RESULTS: Average time of operation was 60 min  , primary closing of all incisions was done . one of the ten patients  had hypertrophic scar at donor site of the flap. furthermore , four patients had web creeping ,one of them had epidermal sloughing of the flap, the others  had creeping  . CONCLUSION: Dorsal advancement plane-shaped flap is helpful in reconstruction tight syndactyly However, it needs precise dissection . Some patient haven’t compliance with  traction devices so it isn’t corresponding for every patient