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Case Report| Volume 65, ISSUE 1, P118-121, January 2012

The use of Integra® bilaminar dermal regeneration template in apert syndactyly reconstruction: A novel alternative to simplify care and improve outcomes

  • James J. Jung
    Affiliations
    Division of Plastic and Reconstructive Surgery, Hospital for Sick Children, 555 University Avenue, Toronto, ON M5G 1X8, Canada
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  • Albert S. Woo
    Affiliations
    Division of Plastic and Reconstructive Surgery, St. Louis Children’s Hospital, One Children’s Place, St. Louis, MO 63110, USA
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  • Gregory H. Borschel
    Correspondence
    Corresponding author. 555 University Ave. Rm 5547 Roy C. Hill Wing, Toronto, ON, Canada M5G 1X8. Tel.: +1 416 813 7654x28197; fax: +1 416 813 6637.
    Affiliations
    Division of Plastic and Reconstructive Surgery, Hospital for Sick Children, 555 University Avenue, Toronto, ON M5G 1X8, Canada

    Department of Surgery, University of Toronto, 100 College St., Toronto, ON M5G 1L5, Canada

    Institute of Biomaterials and Biomedical Engineering, University of Toronto, 164 College St., Toronto, ON M5S 3G9, Canada
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      Summary

      The reconstruction of the third web space in Apert syndactyly often involves pedicled groin flaps to resurface exposed distal (and sometimes proximal) phalanges. We report a case in which the right-hand third web space was reconstructed with traditional pedicled groin flaps and the left hand with the Integra® regenerative skin template. We report that both left and right hands achieved similar outcomes, but the hand reconstructed with groin flaps required debulking, whilst the hand reconstructed with Integra was easier to care for.

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