Web space reconstruction with a M-V flap.

An operative technique for the construction of a supple and broad commissure in syndactyly and web contracture release is introduced. The technique is based on a M-V flap framework. Sixty-three flaps were done in 33 patients who were followed-up for an average of 19 months. Excellent results were obtained in 90% of the cases. There were no neurologic or vascular complications in any of these cases. The versatility of this method has allowed its use in the majority of our cases that necessitated web release or web space reconstruction.