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Desyndactylization of the First and Second Toes Using Full-Thickness Autologous Skin Graft from the Ankle

Renato J. Giorgini, DPM ^*, Tomasz Rostkowski, DPM  and Christopher Japour, DPM, MS 

^* Podiatric Surgery and Residency, North General Hospital, New York, NY; Podiatric Surgery and Residency, Good Samaritan Hospital, West Islip, NY.
Podiatric Surgical Residency, Good Samaritan Hospital, West Islip, NY.
Department of Surgery, Danville Veterans Affairs Medical Center, Danville, IL; Department of Surgery, Brooklyn Veterans Affairs Medical Center, Brooklyn, NY.

Corresponding author: Christopher Japour, DPM, MS, Department of Surgery-112, Danville Veterans Affairs Medical Center, Danville, IL 61832.

Abstract

We present a unique case of congenital bilateral simple syndactyly of the first and second toes that was surgically treated using a full-thickness skin graft harvested from the same foot at the lateral aspect of the ankle. This surgical approach eliminates the potential need to involve another surgical team to harvest a donor graft from above the ankle, saving operating room time, anesthesia time, and overall cost to the patient. Cosmetically, scar formation above the ankle is also eliminated. (J Am Podiatr Med Assoc 96(6): 513–517, 2006)