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Copyright of Pediatru.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Pediatru.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Medic.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Medic.ro is the property of MEDICHUB MEDIA, S.R.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Constriction band syndrom syndactyly is a sporadic condition, that may be present in association with other congenital anomalies such as musculoskeletal, craniofacial and thoraco-abdominal disorders, neural tube defects, scholiosis and hemangiomas. There is a significant predilection for the upper extremities and an increased frequency in distal limbs, and longer digits are significantly more involved than shorter ones. The hands are affected in almost 90% of cases. Associated hand anomalies include syndactyly, acrosyndactyly, digital hypoplasia, symbrachydactyly, campodactyly and lymphedema. Materials and methods: We reviewed 98 webs in 39 hands and 7 feet in 33 patients, operated for congenital constriction band syndactyly during the period of 2005 -2015 in the Plastic Surgery and Burns Department of "Grigore Alexandrescu'' Clinical Emergency Hospital for Children. Number and duration of surgical procedures, age starting surgery, the need for skin graft ,intraoperative and postoperative complications (development of web creep, necrosis, flection contracture, finger deviation), follow up period, malformation complexity (digital hypoplasia, amputation, lymphedema) were assessed clinically and documented. Results: Six of the patients included in the study received two surgeries each, eighteen needed between three and seven surgeries and nine of them required at least eight surgeries (between eight and twelve operations). Fifty-three of the reconstructed webs needed skin grafts to cover the aria resulting from release of digits, and forty-five didn't need skin grafts. Of the 33 operated patients, there were no cases of skin graft loose or flap necroses, and none of the patients developed local infection due the surgery. Conclusions: The constriction ring syndrome is a complex collection of asymmetric congenital anomalies, in which no two cases are exactly alike. The prognosis is dependent on the severity of the associated defects. Early intervention is needed for a successful outcome. [ABSTRACT FROM AUTHOR]

Objectives: The aim of the present study was to evaluate the results of web reconstruction in children with primary syndactyly, using the technique of Flatt modified by Upton for syndactyly release. Materials and methods:We reviewed 72 webs in 27 hands and 21 feet in 24 patients, operated for primary syndactyly, during the period of 2002-2013 in the Plastic Surgery and Burns Department of "Grigore Alexandrescu'' Clinical Emergency Hospital for Children. All the webs were corrected by the same surgeon, using the same indication, timing and technique. Skin grafts becoming loose, flap necrosis, development of local infection, web creep, flection contracture, finger deviation, scars, sensitivity and function were assessed clinically and documented. Results: There were no cases of loose skin graft or flap necrosis, and none of the patients developed local infection due to the surgery. Web creep was seen in 15 of the 72 released webs. Conclusion: The technique described by Upton for syndactyly release can be successfully applied both in the treatment of syndactyly of hands and feet. The incidence of complications is low. Revisional surgery for web creep can be performed using the same technique, without the use of skin grafts. [ABSTRACT FROM AUTHOR]

Introduction: Constriction band syndrom syndactyly is a sporadic condition, that may be present in association with other congenital anomalies such as musculoskeletal, craniofacial and thoraco-abdominal disorders, neural tube defects, scholiosis and hemangiomas. There is a significant predilection for the upper extremities and an increased frequency in distal limbs, and longer digits are significantly more involved than shorter ones. The hands are affected in almost 90% of cases. Associated hand anomalies include syndactyly, acrosyndactyly, digital hypoplasia, symbrachydactyly, campodactyly and lymphedema. Materials and methods: We reviewed 98 webs in 39 hands and 7 feet in 33 patients, operated for congenital constriction band syndactyly during the period of 2005 -2015 in the Plastic Surgery and Burns Department of “Grigore Alexandrescu’' Clinical Emergency Hospital for Children. Number and duration of surgical procedures, age starting surgery, the need for skin graft ,intraoperative and postoperative complications (development of web creep, necrosis, flection contracture, finger deviation), follow up period, malformation complexity (digital hypoplasia, amputation, lymphedema) were assessed clinically and documented. Results: Six of the patients included in the study received two surgeries each, eighteen needed between three and seven surgeries and nine of them required at least eight surgeries (between eight and twelve operations). Fifty-three of the reconstructed webs needed skin grafts to cover the aria resulting from release of digits, and forty-five didn't need skin grafts. Of the 33 operated patients, there were no cases of skin graft loose or flap necroses, and none of the patients developed local infection due the surgery. Conclusions: The constriction ring syndrome is a complex collection of asymmetric congenital anomalies, in which no two cases are exactly alike. The prognosis is dependent on the severity of the associated defects. Early intervention is needed for a successful outcome. [ABSTRACT FROM AUTHOR]

Objectives: The aim of the present study was to evaluate the results of web reconstruction in children with primary syndactyly, using the technique of Flatt modified by Upton for syndactyly release. Materials and methods: We reviewed 72 webs in 27 hands and 21 feet in 24 patients, operated for primary syndactyly, during the period of 2002-2013 in the Plastic Surgery and Burns Department of "Grigore Alexandrescu'' Clinical Emergency Hospital for Children. All the webs were corrected by the same surgeon, using the same indication, timing and technique. Skin grafts becoming loose, flap necrosis, development of local infection, web creep, flection contracture, finger deviation, scars, sensitivity and function were assessed clinically and documented. Results: There were no cases of loose skin graft or flap necrosis, and none of the patients developed local infection due to the surgery. Web creep was seen in 15 of the 72 released webs. Conclusion: The technique described by Upton for syndactyly release can be successfully applied both in the treatment of syndactyly of hands and feet. The incidence of complications is low. Revisional surgery for web creep can be performed using the same technique, without the use of skin grafts. [ABSTRACT FROM AUTHOR]