What Is Syndactyly?
Syndactyly is an abnormal fusion of two or more fingers, present from birth. It is sometimes associated with differences of the face, skull or other organs and can be part of a syndrome. It can significantly limit hand function and restrict the normal growth of the hand as your child grows.
Tests Before Surgery
A thorough examination by a paediatrician is needed to rule out other congenital problems.
When Is It Done?
Usually before 1 year of age, so the hand can function normally as your child develops.
What the Surgery Involves
Your child is seen by the paediatric anaesthetist before surgery and admitted on the day of the operation, which takes about 2–3 hours under general anaesthesia.
The fingers are separated and the resulting wounds are resurfaced with skin grafts, usually taken from the groin and fixed with absorbable stitches. A dressing and a splint support the hand. Your child goes home the same evening with painkillers and antibiotics.
Recovery
- Wound check after 1 week.
- Hand physiotherapy may be needed for 3–6 months.
Possible Complications
Infection, bleeding, swelling, bruising and pain are the common complications. There will be a scar on the hand, which usually settles well with scar treatment. Loss of the skin graft is rare; if it happens, grafting may have to be repeated.
Frequently Asked Questions
At what age is Syndactyly surgery done?
Usually before 1 year of age, so the hand can develop and function normally.
Where does the skin graft come from?
Usually from the groin.
Will my child stay in hospital overnight?
No. It is a day-care procedure, and your child goes home the same evening.
Related Hand Surgery Procedures
- Carpal Tunnel Release — Day-care WALANT release for numbness and tingling from a compressed nerve.
- Trigger Finger Release — Day-care WALANT release for a finger that catches or locks.
This page is general information written by Dr Vybhav Deraje for patients and families. It does not replace an individual consultation; treatment depends on clinical assessment.