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Syndactyly is a common congenital condition that can present sporadically or in relation to an underlying genetic condition. Little contemporary published data exists detailing specific rates of presentation and surgical intervention, especially in Western European population. This is the first published review of operative intervention rates for the condition over time in Northern Ireland. A ten-year retrospective review of electronic operative records from January 2007 - October 2017 was carried out within Northern Ireland's regional t