A new operation for syndactyly and polysyndactyly of the foot without skin grafts

A new surgical technique is described for the treatment of polysyndactyly and syndactyly of the toes. The lateral aspects of the toes are covered by only the interdigital skin without any skin grafts. A subcutaneous pedicled pentagon flap designed on the plantar skin is used for the repair of the base of the interdigital space. 12 interdigital spaces involved in polysyndactyly of the 4th, 5th and 6th toes and 6 interdigital spaces involved in incomplete syndactyly of the toes have been treated. Good aesthetic and functional results were achieved.