Innovative pathway for syndactyly without implants

Recently, Yao Jianming, head of hand surgery at Hangzhou Plastic Surgery Hospital, performed a congenital left middle ring finger syndactyly in a child with bony amputation of the finger tips, separation of the skin and vascular nerves between the fingers, and deepening of the finger web opening. However, the excess skin between the two fingers was cleverly used and divided into 4 pieces, 2 pieces were transferred to the tips of the middle and ring fingers to cover the trauma and 2 pieces were transferred to the root of the finger to reconstruct the webbing. There was no need to cut extra skin for skin implantation. It avoids the disadvantages of the traditional method, in which the skin between the two fingers is often discarded and the remaining trauma requires additional skin grafting; the skin grafting brings the risk of survival rate. Thus, good physical and functional results were obtained. After searching the relevant literature, this is an innovative concept of surgery in China.