Complications

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Complications of the surgical correction of congenital syndactyly include:

ischaemic digit eg digital artery damaged or digit swells with a tight graft

graft loss due to shear, infection or haematoma

contracture may occur in up to 50% of cases

commonly either flexion or lateral deviation

either due to scarring on the ipsilateral side to the deformity or a growth disturbance secondary to surgery

particularly common with contracture secondary to split thickness skin grafts as opposed to full thickness skin grafts

hair growth on graft in around 10% of all cases

abnormal pigmentation of, for example, groin skin graft relative to surrounding skin; occurs in approximately 5% of all cases

advancement of the new web space margin distally down the digits with time

may be due to scar contracture or relative growth of soft tissue within the web

Deformity and web creep are the main reasons for re-operation which may be necessary in up to 50% of cases.

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Complications

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