Syndactyly correction.

The operation to be described has been used by the author, with minor modifications, for over 10 years. A series of 57 cases is presented, all of which were simple, uncomplicated examples of syndactyly. The correction is based on separation of the cleft into rectangular flaps combined with removal of interdigital fat. Performed at one year, this allows complete closure of the ulnar side of the cleft and, in mild degrees, complete closure of the radial side also. A dorsal island flap is used to reconstruct the web. The results have been assessed with a minimum follow-up of 2 years and are discussed.