The sequelae of burns affecting the web space consists of two deformities: webbing and interdigital contracture. The most extreme clinical and anatomical form is true syndactyly, which has been classified into four grades by Alexander. The spearhead procedure is a new technique derived from VY plasty and the hourglass flap. Its advantages are that it is- well vascularized and allows better distribution of the redundant skin of the web, in order that the lateral digital regions can be closed directly. The broken suture line ensures that recurrence is unlikely and gives a very natural aesthetic appearance.