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Journal of the Korean Society for Surgery of the Hand 2006;11(3):143-147.
Published online September 1, 2006.
The Classification and A New Surgical Technique of the Polysyndactyly of the Foot
Su-Bong Nam, Cheol-Uk Kang, Chi-Won Choi, Yong-Chan Bae, So-Min Hwang
족부 다지합지증의 분류와 새로운 수술 방법
남수봉, 강철욱, 최치원, 배용찬, 황소민
Purpose: The Majority of polysyndactyly is postaxial, commonly involving 4th and 5th toes. This study analyzed gross appearances, radiologic findings, and postoperative results of 11 cases of polysyndactyly to extract a classification according to locations, morphologies, radiologic images and characters. Further, a newly designed operative method and its postoperative outcome are presented. Materials and Methods: Between January 1999 and December 2005, 10 patients (total 11 cases) who underwent the surgery for polysyndactyly of the feet were included in this study. 11 cases were classified on the basis of gross examination, radiological and surgical findings. Results: They were 2 males and 8 females, age ranging from 1 years to 62 years, averaging 19.5 years old. All cases occurred in 4th and 5th toes, involving 5 cases on the right foot, 4 on the left foot. and 1 on the both feet. All of cases was postaxial. Five cases were complete type of syndactyly and 6 cases were incomplete types. On radiological findings, type I was 2 cases, type II was 8 cases, type III was 1 case. According to the surgical methods, 8 cases were operated with concurrant local flap and skin graft. And 3 cases recently operated by local flap without skin graft, Hayashi method was used in one case and rest of 2 cases were operated with a new method the author designed. Conclusion: We will try to classify the polysyndactyly according to the necessity of skin graft and research the postoperative results of local flap in correction of polylsyndactyly.
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