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 Fourth 30%  second 15%  Third 50%  first 5%  Abnormalities. Nails-N.V-skeleton-tendon  Complete- incomplete -Complex-Complitcated  Third-w.s most-50%

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Presentation on theme: " Fourth 30%  second 15%  Third 50%  first 5%  Abnormalities. Nails-N.V-skeleton-tendon  Complete- incomplete -Complex-Complitcated  Third-w.s most-50%"— Presentation transcript:

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2  Fourth 30%  second 15%  Third 50%  first 5%  Abnormalities. Nails-N.V-skeleton-tendon  Complete- incomplete -Complex-Complitcated  Third-w.s most-50%  shaped-long-ring  Pathology-calssification  U shaped  index  small finger  V 3-4  ANATOMY

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4  The extent of the syndactyly-nail-other anomalies

5  shoulder- entire upper-limb hand chest wall and the feet

6  cosmetic  functional  developmental on growing child

7  18 months  The first procedure  First and second  Third and forth

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15  medical conditions that preclude surgery or complex synd that risk future functional impairment with attempted separation  on occasion there are insufficient components in the fused mass to produce independent stable and Mobil digits ( central brachysynd or synpolydactyly  mild incomplete synd without functional impairment

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19  V.A  infection-Wound dehiscence- graft loss  OVER TIME→ WEB creep- joint contractures  Beaked nail deformity  joint instability

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21  Acrosyndactyly  Aper’s syndrome  Symbrachydactyly  Poland syndrome

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