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.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Plastic, Reconstructive & Aesthetic SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- The Apert hand.in: Bentz M.L. Bauer B.S. Zuker R.M. Principles and practice of pediatric plastic surgery. Quality Medical Publishing, St. Louis2007: 1231-1248
- Reconstruction of the hand in Apert syndrome: a simplified approach.Plast Reconstr Surg. 2002; 109: 465-470
- Syndactyly correction of the hand in Apert syndrome.Clin Plast Surg. 1991; 18: 357-364
- The use of split thickness skin grafts in the correction of Apert’s syndactyly.J Hand Surg (Br). 2001; 26: 8-10
- Design of an artificial skin. 1. Basic design principles.J Biomed Mater Res. 1980; 14: 65-81
- Immunologic study of artificial skin used in the treatment of thermal injuries.J Burn Care Rehabil. 1990; 11: 21-26
- Use of dermal regeneration template in contracture release procedures: a multicenter evaluation.Plast. Reconstr. Surg. 2004; 113: 1330-1338
- The role of nonvascularized toe phalanx transplantation.Hand Clin. 1990; 6: 643-659
- Use of silastic sheet in Apert’s syndactyly.J Hand Surg Eur. 1994; 19B: 248-249
- Long term clinical and histological analysis of Integra dermal regeneration template use and literature review of template histology.Plast Reconstr Surg. 2011 Mar; 127: 1149-1154
Article info
Publication history
Published online: July 21, 2011
Accepted:
June 21,
2011
Received:
June 15,
2011
Identification
Copyright
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.