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14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Treatment of artificial dermal template to release congenital syndactyly without skin graft

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  • presenting/speaker Jianghai Chen - Wuhan Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
  • Fangxing Ai - Wuhan Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
  • Kun Wang - Wuhan Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
  • Yan Zhang - Wuhan Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1012

doi: 10.3205/19ifssh0522, urn:nbn:de:0183-19ifssh05222

Published: February 6, 2020

© 2020 Chen et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objectives/Interrogation: Congenital syndactyly is one of the most common upper extremity deformities treated by hand surgeons. The aim of this study was to release congential syndactyly without skin grafts through treatment of artificial dermis.

Methods: From June 2015 to Jan 2017, the skin defects after syndactyly release were covered with artifical dermis in 22 webs of 14 patients. The wounds were healed in one-stage without skin grafts. Average follow-up was 28 months (range, 18 to 38 months). The post-operative results were assessed with the Vancouver Scar Scale (VSS), the Patient and Observer Scar Assessment Scales (PSAS, OSAS), and visual analog scale (VAS).

Results and Conclusions: All wounds were healed within 6 weeks in average. The Vancouver Scar Scale scores averaged 0.8 (range,0-2), grade of web creep averaged 1.2 (range, 0-3) for the affected digits. All patients gained satisfactory results in aesthetics and functionality. Thereby, we may conclude that the new procedure is simple and effective for syndactyly reconstruction with less invasion.