The use of Hyaluronic Acid Matrix for Effective Skin Deficit Coverage in Pediatric Complex Syndactyly Reconstruction: A Case Report and Technique Review.

INTRODUCTION: Congenital syndactyly is described as the failure of two or more digits to separate, resulting in fusion of soft tissue or osseous structures. Although traditional techniques involving surgical release and skin grafting are cornerstones of syndactyly reconstruction, over the last decade the use of synthetic grafts for skin deficit coverage has become increasingly popular due to improved scar cosmesis and decreased rates of web creep.

CASE REPORT: A 6-month-old Caucasian male with complete syndactyly of the third through fifth digits of bilateral hands underwent staged syndactyly reconstruction using Hyalomatrix synthetic graft coverage for skin deficits of the bilateral ring fingers, resulting in successful resolution of the skin deficits without scarring or significant web creep.

CONCLUSION: Synthetic skin grafts provide excellent coverage and cosmesis for skin deficits not amenable to primary closure during complex, complete syndactyly reconstruction in pediatric patients.