Deviation and Atrophy of Middle Phalanx of Hand Following Partial Separation in Syndactyly Patient: Their Fault or Ours?

Backgrounds: Syndactyly is failure of differentiation in which the fingers fail to separate into individual appendages. It most common congenital hand anomaly, with an incidence 1 2,000 2,500 live births. Surgical separation as early 6 month-old indicated when syndactyly involves digits unequal length (i.e., ring and little fingers). Early also required complex cases acrosyndactyly. The timing surgery all other remains somewhat controversial; suggest surgical correction before age 18 months, whereas others prefer wait until after this age.Case Presentation Operation Technique: A 13-year old boy, presented fusion right at birth. Prior his current visit, he underwent partial y.o. a local hospital. Following separation, did not grow normally. Current X-ray showed atrophy deviation middle phalanx. We performed between index finger, fourth small finger our Interdigital webbings are released using flap remaining raw surface covered full-thickness skin grafts. On follow up, patient good functional aesthetic outcome. He able write better coordination.Discussion: Complex reconstruction challenging problem. Common post findings include rotational deformity, angular nail deformity. describe how we have altered approach these findings.Conclusion: Congenital should be corrected life. Careful dissection, use dorsal rectangular combination 2 volar triangular flaps, full thickness grafts ensure satisfactory outcome minimize number operations per web