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

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.