@article{article_190388, title={Principles of surgical treatment in patients with complicated syndactyly}, journal={Acta Orthopaedica et Traumatologica Turcica}, volume={34}, pages={152–156}, year={2006}, DOI={10.3944/aott.v34i2.1780}, author={Orhun, Emre and Kantarci, Umit and Cepel, Selim and Polatkan, Oguz and Nuzumlali, Ersin}, keywords={Fingers/surgery;surgical flaps/methods;syndactyly/ surgery}, abstract={Methods: Thirteen patients (10 females, 77%; 3 males, 23%) underwent surgery for congenital complicated syndactyly. Mean age of operation was 6.3 years (range 0.5-21 years). Four patients had bilateral syndactyly. According to the anatomo-pathologic classification of syndactyly, patients were classified as simple-incomplete-complicated (n=8), simple-complete-complicated (n=2), and complex-complete-complicated (n=3). A total of 35 operations was performed in the patient group in order to reconstruct web spaces and correct associated anomalies. Web spaces were reconstructed using dorsal rectangular flaps. Results: Postoperatively, development of web creeps was noted in only two patients. Conclusion: Patients with complicated syndactyly must be operated early in childhood and full-thickness grafts should be the preferred material to be used in operation.}, number={2}, publisher={Turkish Association of Orthopaedics and Traumatology}