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September 23, 2025Plastic & Reconstructive SurgeryOpen Access

Skin Graftless Dorsal Metacarpal Island VY Advancement Flap versus Dorsal Rectangular Flap with Skin Grafting in 213 Simple Syndactyly Releases

Muhammad Daiem Ricardo A. Torres‐Guzman Vidyasagar Chennupati Franklin Gergoudis Barite Gutama William C. Lineaweaver

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Key Points

The skin graftless dorsal metacarpal island VY advancement flap demonstrates comparable outcomes to skin grafting techniques in syndactyly releases.
Key evidence shows that both surgical methods resulted in effective functionality restoration with satisfactory aesthetic results in 213 patients treated.
Using a cohort study design, the outcomes of two flap techniques were analyzed, focusing on functional recovery and aesthetic results.
The findings suggest that flap techniques may provide effective solutions for pediatric syndactyly, calling for further research on long-term outcomes.

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Implication

Comparison of skin graftless dorsal metacarpal island flap and dorsal rectangular flap with skin grafting in children with syndactyly.

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Cite This Study

Daiem et al. (2025) studied this question.

synapsesocial.com/papers/68d6d82e8b2b6861e4c3e108 https://doi.org/10.1097/prs.0000000000012466

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