Webplasty using an external fixator for complex syndactyly caused by Apert syndrome.

Autor:	Kinoda A; Institute for Integrated Sports Medicine, Keio University School of Medicine, Tokyo, Japan. Electronic address: akirakiak@gmail.com., Sato K; Institute for Integrated Sports Medicine, Keio University School of Medicine, Tokyo, Japan. Electronic address: kazuki3005@gmail.com., Iwamoto T; Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan., Matsumura N; Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan., Suzuki T; Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan., Kiyota Y; Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan., Kimura T; Institute for Integrated Sports Medicine, Keio University School of Medicine, Tokyo, Japan., Nakamura T; Department of Orthopaedic Surgery, Sanno Hospital, Tokyo, Japan.
Jazyk:	angličtina
Zdroj:	Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association [J Orthop Sci] 2024 May 20. Date of Electronic Publication: 2024 May 20.
DOI:	10.1016/j.jos.2024.04.007
Abstrakt:	Background: Webplasty can be conducted for complex syndactyly caused by Apert syndrome (also referred to as Apert hand) by extending the soft tissue in the lateral direction using an external fixator. This study aimed to verify the usefulness of webplasty without skin grafting. Methods: Webplasty with lateral extension was conducted at a single institution from 2015 to 2023. The patients were four children with Apert hand aged 1-3 years. A custom-made small external fixator was used for all of the soft tissue extension. Results: Webplasty without skin grafting was completed by the time all five patients were 5-6 years of age. Conclusion: Webplasty without skin grafting was possible with lateral extension of the soft tissue using a simple external fixator. (Copyright © 2024 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.)
Databáze:	MEDLINE
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