Abstract:
Introduction:
Syndactyly is one of the most common congenital hand anomalies treated by pediatric plastic surgeons. Established principles of syndactyly separation dictate the timing and order of syndactyly release, with the goals of surgery being the creation of an anatomically normal webspace, tension-free closure of soft tissue, and return of function to the fingers.

Numerous surgical methods have been described, many of which involve the use of local flaps to reconstruct the commissure and full-thickness skin grafts for coverage of raw areas. Recently, reconstructive techniques without the use of skin grafts have been devised, which work well for certain indications. Special considerations are described for complete, complex, and syndromic syndactylies. Therefore, here we are going to share a single experience of surgical result of syndactyly release

Result:
It tends to have favorable outcomes and no obvious surgical complications. Rehabilitation after surgery is as important as operation, thus secondary stage for operation of other digits is considerable because patient is prompt to accept rehabilitation training if less wound pain as the result of less surgical site.

Conclusion:
Reconstruction of complex syndactyly requires judicious identification of the plane of cleavage. Once this has been achieved, separation of the digits can be performed using a
knife blade.4 While dissecting complex syndactyly, great consideration must be given to the patient’s neurovascular anatomy, as it is often less predictable than those seen in simple syndactyly. The degree of bony involvement correlates with the extent of neurovascular anomaly and risk of injury to these structures.

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