Syndactyly release

If you need a syndactyly release, please Schedule an appointment with one of our orthopedic specialists as soon as possible.

What Is Syndactyly Release?

Syndactyly is a congenital condition where two or more fingers or toes fuse together, either partially or completely. This fusion occurs due to abnormal development during fetal growth and can affect both soft tissues and bones. Syndactyly can range from mild webbing between digits to more severe cases where the bones fuse. Although the severity varies, surgical intervention—called syndactyly release—is often necessary to separate the digits, improving both function and appearance.

Causes of Syndactyly

Syndactyly typically results from incomplete separation of tissues between the fingers or toes during early fetal development. While the exact cause is often unclear, it can be inherited or arise sporadically due to genetic mutations. Additionally, syndactyly may occur alongside certain genetic syndromes, such as Apert syndrome, Crouzon syndrome, or Poland syndrome. Although this condition most commonly affects the hands and feet, it can occur in either or both.

Symptoms and Diagnosis

The primary symptom of syndactyly is the visible fusion of two or more digits. This fusion can range from simple webbing to complete bone and soft tissue fusion. Depending on the extent of the fusion, syndactyly may lead to:

• Limited Mobility: The affected fingers or toes may have restricted movement, impairing grip or walking ability.
• Cosmetic Concerns: Some individuals may seek surgery to improve the appearance of their hands or feet.
• Functional Limitations: In severe cases, the condition can interfere with daily activities like writing, picking up objects, or walking.

Doctors typically diagnose syndactyly during a physical examination at birth. They may use X-rays to assess the extent of the fusion, particularly if the bones are involved.

Syndactyly Release Surgery

Syndactyly release surgery offers the most effective treatment for separating fused digits. The procedure aims to create functional and cosmetically improved digits by separating the fingers or toes and reconstructing the skin, nerves, and, when necessary, the bones. The surgery generally follows these steps:

1. Incision and Separation: The surgeon carefully makes incisions along the fusion lines and separates the fused fingers or toes.
2. Bone Separation: If the bones are fused, the surgeon divides them and reshapes them to ensure proper alignment and movement.
3. Soft Tissue Reconstruction: Surgeons use skin flaps to cover the separated areas. In more severe cases, skin grafts may be needed.
4. Splinting and Stabilization: After surgery, the hand or foot is often immobilized with a splint or cast to protect the surgical site during healing.

Rehabilitation and Recovery

Following syndactyly release surgery, patients must adhere to a structured rehabilitation plan to ensure the best outcome. In the initial healing phase, patients must keep the surgical area clean and protected, with follow-up visits to monitor recovery. The hand or foot may be splinted to prevent movement and promote proper tissue healing.

Once the initial healing is complete, physical therapy becomes crucial to restore function and mobility. For hand surgeries, rehabilitation emphasizes improving finger dexterity, grip strength, and range of motion. For toe surgeries, the focus shifts to restoring normal walking patterns and balance.

Recovery time varies depending on the severity of the condition and the extent of surgery. However, with appropriate care and rehabilitation, most patients regain full functionality of the fingers or toes over time.

Conclusion

Syndactyly release surgery is a highly effective treatment for improving both the function and appearance of fused digits. By separating the affected fingers or toes and reconstructing the soft tissues, this procedure allows patients to regain normal movement, improve their quality of life, and address cosmetic concerns.

If you would like to speak to an Orthopedic Specialist, give us a call at 817-697-4038, or contact us over the web. Tele-medicine appointments are also available.