outcomes of V-Y dorsal metacarpal artery perforator artery flap for web space reconstruction in simple syndactyly | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Articles in Press, Accepted Manuscript, Available Online from 08 January 2024 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejprs.2024.255820.1324 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Hossam Mahmoud Elsheshtawy  1; magdy beshir elsayed2; ahmed mahmoud elshebly1; ahmed mohamed bahaa eldin1
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| 1Plastic and Reconstructive surgery department, Faculty of Medicine, Mansoura university | ||||
| 2General surgery department, Faculty of Medicine, Mansoura university | ||||
| Abstract | ||||
| Background: New web space formation is the most challenging in the treatment of syndactyly, and the choice of the ideal reconstructive technique is still controversial. Syndactyly repairs using skin grafts increase the risk of graft-related complications. The V-Y dorsal metacarpal artery perforator flap offers a method of syndactyly release that can eliminate the need for skin grafts. In this study to allow for further progress of the flap, we guarantee free dissection of the dorsal metacarpal vessels. Aim of the study: To evaluate the outcomes of simple syndactyly web space reconstruction with V-Y dorsal metacarpal artery perforator flap. Method: Surgically treated 14 patients diagnosed with simple syndactyly were included in the study. Postoperative results were clinically evaluated by two independent surgeons as regards early postoperative infection, hematoma, congestion, flap necrosis, and long-term results such as web creep grade, finger deformity, Vancouver scar scale (VSS), contracture, range of motion, and parents’ or patients’ visual analogue scale (VAS) for aesthetic satisfaction. Results: All 14 flaps survived well apart from two flaps that showed distal tip necrosis. All cases had normal MCP range of motion, and only two cases had extension lag. Flexion deformity was found in two cases only. As regards web creep, seven cases developed web creep grade I, five cases were grade II, and two cases were grade III. The total median value of the scar quality on the Vancouver Scar scale (VSS) was 5.43[range 4-7}. The average total satisfaction of patients/caregivers was 8.14[range 5-10]. Conclusion: The V-Y dorsal metacarpal artery perforator flap is a reliable option for web space reconstruction in simple syndactyly. KEYWORDS: Simple syndactyly, Webspace reconstruction, Dorsal metacarpal artery flap. | ||||
| Keywords | ||||
| Simple syndactyly; New webspace formation; Dorsal metacarpal artery flap | ||||
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