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

This video demonstrates use of a dorsal V-Y island flap for treatment of incomplete, simple syndactyly. This technique allows for direct closure without need for skin grafting.
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Date
18/10/2023
Jurisdiction
USA
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Drs. Blood, Freniere and Evans debate the merits of in situ cubital tunnel release, anterior transposition, and supercharge AIN to ulnar motor nerve transfer, followed by a discussion of these procedures
Thumb carpal metacarpal joint (CMCJ) arthritis is common. Surgical denervation is an option for symptomatic CMCJ arthritis. Articular branches of denervation can be performed using a single volar incision. Synovectomy at the CMCJ can also be performed at the same time. Short recovery period is noted.
This video is of a lecture on zone I-V flexor tendon repairs, WALANT, complications, and tendon reconstruction.
The procedure describes using the extensor retinaculum flap to reconstruct the lax sheath of ECU in chronic instability.
This video contains a brief background discussion on etiology and presentation of swan neck deformities followed by illustrative case presentation demonstrating surgical technique