Clinical Example: Bilateral complete syndactyly release with toe pulp grafts for fingertips

Complete complex syndactyly presents a number of problems, including lack of adequate pulp soft tissue on the adjacent sides of the fingertips: there is none. There are three technical approaches for this problem: local flaps,  skin grafts and composite tissue grafts. This is an example of the use of composite toe pulp grafts.
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Complex complete bilateral middle-ring syndactyly.
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The same procedure was performed bilaterally at the same setting. Composite skin-subcutaneous tissue grafts were harvested from the lateral aspect of the great toe and transferred to the adjacent sides of the separated fingertips.
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Final contour is more full than graft or local flap reconstruction.
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