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[Surgical treatment of syndactylia].

In a review of over 100 surgical procedures on the hand in the pediatric age group during the past 4 years, experience in the treatment of syndactyly of the hand is discussed. Due to their structural differences, exogenous acrosyndactylies are to be distinguished from the genetically determined cutaneous and osseous syndactyly. Early separation of thumb, index and fifth finger ensures grip function and improves psychointellectual development. Scar syndactyly is avoidable given an appropriate technique for formation of the interdigital commissure and if triangular flaps for long digits are used.