Congenital Syndactyly With Release and Markings of Flap

Congenital Syndactyly Procedure Markings and Release

Meningomyelocele

Excision done of meningomyelocele done.
Post Op raw area covered with double opposing z plasty flaps.

Syndactyly Web Creation

Taking into account the Mpjt Ipjt Measurement. Flap raised for web from dorsal skin . Zig Zag incision made for approximation of flaps and orientation to raw area.

Camptodactyly

Release with FTSG

Macrodactyly

Reduction

Macrodactyly

One and fingers involved.
Nerve bundle is involved .
Otherwise it's a neurofibroma.
Treatment by reduction

Kirners deformity

Radial and palmar deviation.
Involving the distal phalanx.

Transverse arrest

Rare congenital Anamoly.
At metacarpal level .
Web deepening done.
Other options - free phalangeal transfer, for transfer vascularized.

Clinodactyly

Congenital deformity.
Correction is done with surgery.

Symbrachydactyly

Release done.
With thumb Web creation

Venous malformations

Planned for excision and sclerotherapy

Camphtodactyly

Congenital anamoly
Look for contracture correctable.
Then conservative with splint 6 weeks.
Then plan for surgery.

Vascular hemangioma

Alcohol injection.