Syndactyly correction without skin-grafting. J Hand 4. Surg [Br] 1996;21B:330-7. Vickers D, Donnelly W. Corrective surgery of syndactyly without 5

Syndactyly correction results in skin deficiency. Skin grafting is avoided by the use of an extended dorsal interdigital f ap for the web and approximation of the side flaps to cover the length of the digits. The technique has been used in 17 cases with all varieties of syndactyly. There were no early complications. The follow-up averaged 2 years. There were two cases of web creep but no contractures. The method combines the advantage of direct suture with an acceptable frequency of web creep. Journal of Hand Surgery (British and European Volume, 1996) 21B: 3:330-337 Numerous urgical techniques have been described over the years for syndactyly correction (Eaton and Lister, 1990). Certain principles have evolved and been gener-ally accepted, such as the use of flaps for the creation of the web and skin grafts for covering the fingers (Flatt, 1994). However, these standard techniques have failure rates and secondary surgery may be needed (Blauth