Syndactyly Repair: Comparison of Skin Graft and No Skin Graft Techniques

Completed

Conditions studied: Congenital Hand Deformities

In brief

Syndactyly is a relatively common congenital abnormality of the hand occurring approximately 1 out of 2500 live births (1). It can be simple, meaning only skin and soft tissues are shared, or complex, meaning the bone or nail parts are shared. In any case, it is a fact that there is not enough skin surrounding the two finger segment to be utilized to cover two separate fingers. This can also be proven by simple geometry. Therefore, it has always been taught to residents and explained to numerous patients' families that addition of skin graft is required for a proper syndactyly release. Without it, skin flaps would be too tight, causing some necrosis and significant scarring along the finger and particularly in the web space, causing an unsatisfactory functional and cosmetic result requiring revision.

Key facts

Study ID

NCT01416090

Run by

University of Utah

People needed

14

Starts

2004-07-01

Expected to finish

2019-08-01

Last updated by the study team

2019-08-20

Who can join

Age: 1 and older, up to 6. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Children ages 6 months to 6 years with simple syndactyly 2nd and/or 3rd web space without other major congenital hand abnormally syndrome that would affect growth, function, and appearance of hand.

You may not qualify if…

• patients with complex syndactyly, syndactyly of teh first web, patients with brachysyndactyly and diagnosis of Apert's, poland's and other syndromes that often include incomplete digital components and subsequent function.

Where it is running

• University of Utah Orthopedic Center — Salt Lake City, Utah, United States

Full record on ClinicalTrials.gov

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