Isografting of full-thickness skin to treat syndactyly in monozygotic twins with Apert syndrome: a case report

Patients with Apert syndrome require repeated limb surgery due to their complex deformities. In this study, a full-thickness isograft was performed for the division of Upton type III hands in identical twins syndrome. Nine-month-old presented characterized by craniosynostosis, severe syndactyly and feet, dysmorphic facial features. Division skin grafting were performed. The siblings operated consecutively on same day. Following younger sibling, there an excess graft left unused. contrast, older sibling required additional 1 × cm. Full-thickness successfully transferred between without any rejection as 2-month follow-up. Thus, isografting monozygotic implemented.