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Web finger repair; Web toe repair; Syndactyly repair
Repair of webbed fingers or toes is surgery to fix webbing of the toes, fingers, or both. The middle and ring fingers or the second and third toes are most often affected.
This procedure is done using general anesthesia. The patient is asleep and pain-free.
The health care provider will mark the areas of skin that need repair.
The surgeon cuts the skin, then lifts up small flaps in the web and at the sides of the fingers or toes. The flaps are sewn into position, leaving missing areas of skin. These areas may be filled in with skin taken from the groin area, if necessary. The hand or foot is then wrapped with a bulky bandage or cast so that it cannot move.
Simple webbing of fingers or toes involves only the skin and other soft tissues. The surgery is more complicated when it involves fused bones, nerves, blood vessels, and tendons.
This surgery is advised if the webbing causes problems with appearance, or in using the fingers or toes. Generally, the repairs are done when a child is between 6 months and 2 years old.
Jobe MT. Congenital anomalies of the hand. In: Canale ST, Beaty JH, eds. Campbell's Operative Orthopaedics. 11th ed. Philadelphia, Pa: Mosby Elsevier; 2007:chap 76.
Vidyadharan R, Lester R. Syndactyly correction: an aesthetic reconstruction. "The Journal of hand surgery, European volume." J Hand Surg Eur Vol. 2010 Jul;35(6):446-50.
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