[SYNDACTYLY OF THE FINGERS: DIAGNOSIS, EVALUATION AND TREATMENT].

Abstract

Introduction: Syndactyly release is a surgical procedure aimed at restoring hand and finger function while maintaining the natural appearance of the interdigital web space (commissure) as much as possible. The timing of surgery depends on the complexity of the fusion, the patient's age, and their overall medical condition. The traditional technique is based on a zigzag incision and the use of skin grafts combined with local flaps. However, it is associated with a relatively high incidence of complications, such as web creep, hypertrophic scars, flap necrosis, and contractures. This article provides a general overview of syndactyly and reviews an alternative surgical technique that minimizes the need for skin grafts, shortens recovery time, and improves both aesthetic and functional outcomes.