Clinical Features of Syndactyly and Surgical Treatment of Associated Complications

Abstract

Introduction: Syndactyly is a common congenital deformity with an incidence of 1/2000–3000 with a male predominance. Several surgical approaches were described for various clinical presentations. Despite well-documented techniques in current literature, causes, and management of complications remain a topic of debate and often vary based on clinical experience. This study aims to outline our surgical outcome and compare the related complications to those reported in the literature. Materials and Methods: Patient data were extracted from the clinical database and a retrospective study was conducted on 55 patients who underwent syndactyly release. Standardized surgical interventions were performed and early postoperative complications were recorded. Results: Of 55 patients, 39 patients were male and 16 were female. The surgical release of 102 webs (63 hands-71 webs, 21 feet-31 webs) was performed. Gender is not a factor that affects the complication rates (P = 0.062, P > 0.05). Age at surgery over 2 years is associated with increased postoperative complications (P = 0.032, P < 0.05). During the follow-up period, the most frequent complication was web creep (7%). Conclusion: Our retrospective study, despite its limitations, provides valuable insights into achieving successful outcomes and guides future research.

Keywords

• complications
• syndactyly
• syndactyly classification