The pulp plasty: A composite graft for complete syndactyly fingertip separations

T. Greg Sommerkamp, Marybeth Ezaki, Peter R. Carter, Vincent R. Hentz

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


Composite grafts of skin and subcutaneous fat harvested from the glabrous non-weight-bearing areas of the foot were used to graft 34 fingertips after separation of 23 complete syndactyly webs in 13 patients. Simple complete syndactylies accounted for 17% and complex complete syndactylies accounted for 83%; synonychia was encountered in 70%. Follow-up averaged 13.9 months (minimum, 2 months, maximum 33 months). All patients had 100% take of the composite graft. Subjective gradings were 94% good, 6% fair, and there were no poor results. This technique provides a relatively normal contour and satisfactory pad to the fingertip.

Original languageEnglish (US)
Pages (from-to)15-20
Number of pages6
JournalJournal of Hand Surgery
Issue number1
StatePublished - Jan 1992

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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