[Spare-parts concept in pediatric hand: About one bilateral syndactyly]. / Principe du doigt-banque en main congénitale : à propos d'une syndactylie bilatérale.

ABSTRACT

INTRODUCTION: The spare-parts concept is well described in traumatology of the hand. Tissues of a scarified ray are used to reconstruct another damaged finger. We will detail an application in pediatric hand through a clinical case. MATERIALS AND METHOD: We describe a patient presenting a bilateral complete and non-complex syndactyly of the third web space associated with a bilateral hexadactyly classified as type B according to the Temtamy and Mc Kusick's classification. The treatment of the syndactyly was performed with a dorsal flap for the web space and with longitudinal zigzag incisions in mirror. Skin loss of the lateral sides of the fingers was covered by the full-thickness graft taken on the supernumerary finger which was treated in the same surgical time. DISCUSSION: This application of the spare-parts concept allows only one surgical site with absence of scar on the donor site and a skin graft close to the skin loss on the finger. CONCLUSION: The spare-parts concept can be applied in some cases of pediatric hand and must be a tool for the surgeon.