The treatment of complex and complicated syndactyly with regards to the coverage of exposed phalanges is still a disputable problem up to the present. Thus, a lot of procedures are suggested such as to use abdominal flap and using thenar flap to cover wound after separation of phalanges. The abovementioned procedures can separate the osseous fusion of the distal phalanges but the operations are tedious and complicated and need to be done in two stages.
We reported three cases of complex syndactyly with 5 hands involved, total seven web spaces were separated in this article. We use the Gramcko's procedure by designing a triangular skin flap to cover the wound after separation of the osseous fusion and all cases were done in one stage operation with acceptable functional and cosmetic results.
Translated title of the contribution使用Gramcko三角形皮瓣於分離複雜性併指畸形之末端指骨融合之治療
Original languageEnglish
Pages (from-to)298-303
Number of pages6
Issue number4
Publication statusPublished - 2002


  • complex syndactyly
  • acrosyndactyly
  • Gramcko's triangular flap
  • distal phalangeal fusion


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