Syndactyly Reconstruction Using The Dorsal Metacarpal Island VY Advancement Flap Without Skin Grafting

Description

This video presentation by Emily Graham details the surgical procedure for syndactyly reconstruction, specifically employing a dorsal metacarpal island V-Y advancement flap technique without the use of skin grafting. It illustrates the reconstruction of the left hand's fourth webspace in a patient with simple incomplete syndactyly. The video emphasizes the advantages of the dorsal metacarpal island flap over traditional skin graft techniques, noting the benefits of less operative time, decreased risk of post-operative complications, and improved aesthetic outcomes. Key surgical steps are outlined, including flap incision markings, raising the flaps, and suturing techniques. The video concludes by presenting excellent post-operative results and referencing the original technique established by Sharif in 1998, which advocated for a more efficient and less invasive approach to syndactyly repair.

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