THE 3-SQUARE-FLAP METHOD FOR RECONSTRUCTION OF MINOR SYNDACTYLY

A three-square-flap procedure is described for surgical treatment of m inor syndactyly. The average follow-up period in 58 cases (48 patients ) was 2 years 4 months. In the three-square-flap method, the interdigi tal space is regarded as a cube and flaps are designed on each surface of the cube (dorsal side, interdigital surface, and volar side); the flap on the dorsal side forms the basal surface of the new interdigita l portion. This technique is most suitable for reconstruction of minor three-dimensional contracture syndactyly. This method does not requir e skin grafting; the design is uncomplicated and easy to understand, a nd the operative procedure is simple.