Fused Fingers (SYNDACTYLY):

Syndactyly refers to fusion of fingers.

When syndactyly is present, there is a relative lack of skin. this can be  demonstrated by simply measuring the circumference of one’s middle and ring fingers separately and comparing their combined measurement with the measurement of the circumference of the two fingers when held together. On average, there is a 30% skin shortage.

 The elasticity of skin and the ability to transfer skin from areas of relative excess to areas of relative lack may allow skin cover of the separated digits. Additional skin, mainly through skin grafting but also through the use of regional or distant flaps, is often necessary.

Three components of the digit require reconstruction: the web, the finger skin, and the nail folds when the syndactyly is complete.

 Extra Fingers (Polydactyly)

Surgical treatment has evolved from merely ablating the extra digit to involve careful consideration of the available components and ultimate functional outcome. An understanding of these fine technical considerations ensures a more functional and aesthetic reconstruction.