SYNDACTYLY ADHERENT FINGER

Congenital adhesion between the fingers or toes is called a sedentary or conjoined finger. The incidence of sindactitis is one in 2000 live births. Sindactitis is the most common hand anomaly seen in children after polydactyly (multiple fingers). It is seen unilaterally (right or left) in half of the patients. It occurs more often in males. There's also the possibility of inheriting it. Adhesion of the 3rd and 4th fingers is observed at most. In the treatment of sindactitis or conjoined fingers, the aim is not only to open the adhesion. There are other principles. These principles are:
  • Repairing the part between the two fingers not with a skin patch, but with normal skin shifting.
  • Prevention of deformities and withdrawals (contracture) during the development of the fingers of surgical scars that will occur by making zig-zag incisions.
  • Closing the exposed finger parts with a skin patch (graft)..
  • Careful protection of nail structures.
  • Correction of bone deformities, if any.
All of these criteria should be tried to be met in sedimentary conjoined finger surgery. It is preferable to perform the surgery up to 36 months, which is 24 months, which is when the control of the fingers begins. In addition, surgery can be performed in older children. But it is especially recommended to treat complex sindactitis earlier. It is treated earlier, especially considering that fingers with height differences can destabilize each other during growth. Surgery in newborns is not preferred especially due to anesthesia drawbacks.
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