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Reconstructive · Hand

Syndactyly

Surgical separation of webbed fingers using tissue grafting to restore normal hand function and appearance.

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Syndactyly

What it is

Syndactyly is a condition, usually present from birth, in which two or more fingers or toes are joined together. Surgery separates the joined digits and uses skin grafts to cover the sides of the separated fingers.

Who it’s for

  • Children born with webbed or joined fingers
  • Children whose joined fingers may affect growth or hand function
  • Older children or adults with untreated syndactyly
  • Surgery is usually planned in early childhood, often between 1 and 2 years of age

How it’s done

  1. Step 01

    Surgery is usually done under general anaesthesia.

  2. Step 02

    Zig-zag incisions are planned to separate the fingers and create a new web space.

  3. Step 03

    The fingers are carefully separated, protecting nerves and blood vessels.

  4. Step 04

    Skin grafts, usually from the groin, are placed where skin is lacking.

  5. Step 05

    The hand is dressed in a bulky bandage or cast for protection.

Recovery time

The dressing is usually kept on for about 2 weeks, and most children return to normal play within a few weeks. Scar care may be advised. Your surgeon will advise based on your child's assessment.

Results

The separated fingers usually move more independently, and scars fade gradually over months. Some children may need further surgery as they grow, for example if the web space creeps.

Results vary from person to person.

Questions about Syndactyly

  • It is commonly done in early childhood, but timing depends on which fingers are joined and how. Your surgeon will advise.

Results vary from person to person. The information on this website is for general education and is not a substitute for a personal consultation. Procedures carry risks, which will be discussed with you before any treatment. Page copy pending medical review

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