Separation of congenital embryonic syndactylies in children: dorsal or volar flap? About a comparative retrospective series.

Congenital syndactylies account for 1 to 2 out of 2000 birth defects. Although several types of syndactylies exist, we only studied embryonic syndactylies. The goal of our study was to compare 2 types of coverage flap for the reconstruction of the finger web spaces: a volar flap described by Blauth and a dorsal flap described by Gilbert.

Correction of Clinodactyly by Early Physiolysis: 6-Year Results.

Purpose: To review results at least 6 years after physiolysis for treatment of the delta phalanx associated with clinodactyly.

Methods: We present 22 cases of clinodactyly treated with physiolysis in which we removed the central part of the epiphysis, which is the portion restricting longitudinal growth unilaterally and inducing progressive finger deviation, and placed a fat graft in the resultant defect.

Results: This retrospective study reports the results of early physiolysis in 27 fingers with radial clinodactyly, including 17 fingers from 17 patients previously reported and 10 little fingers from 5 additional patients.

Primary care of nail traumas.

Injuries to the nail complex are common in adults and children. These complex injuries often involve the paraungueal tissues, fingertip and bone. Specialized primary care is essential to limiting the sequelea that are typically difficult to repair secondarily.

[Early physiolysis in the correction of clinodactyly].

The principle of early treatment by physiolysis without osteotomy is based on the removal of the deforming tether. We retrospectively studied the effects of early physiolysis on the growth and correction of deformity with a minimal follow-up of 6 years in 17 cases. The mean correction at follow-up was 82% of the pre-operative angle.