{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T10:44:58Z","timestamp":1786704298555,"version":"build-2736575974"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T00:00:00Z","timestamp":1725148800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T00:00:00Z","timestamp":1725148800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,7,20]],"date-time":"2024-07-20T00:00:00Z","timestamp":1721433600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100015690","name":"Universitas Padjadjaran","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100015690","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Polydactyly is the most common congenital malformation in the limbs. However, it is rare for a patient to exhibit concomitant preaxial and postaxial polydactyly alongside syndactyly in both limbs, and there are limited recommendations for such conditions. This report presents a case of bilateral preaxial and postaxial polydactyly with syndactyly of the feet.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>A 2-year-old girl was presented with an excess number of toes on both feet and an abnormal connection between the second and third toes. After a physical examination and plain radiography, the patient was diagnosed with bilateral preaxial and postaxial polydactyly with syndactyly. We performed a one-stage surgical correction consisting of ablation at the extra digit of bilateral great and little toes, followed by syndactyly release using z-plasty. The surgery was uneventful, and the parents were satisfied with the result.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>A plain radiograph is necessary for pre-operative planning. We discarded the excess digits for cosmetics and soft and hard tissue for optimal function. It is necessary to preserve the soft tissues, remove the auxiliary digit, realign the digit, and restore the ligaments to preserve digit stability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The complexity of this case required a meticulous surgical approach to address the structural abnormalities, restore functionality, and improve cosmetic appearance. In this case, the surgery can be performed in one procedure to minimize patient morbidity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.110064","type":"journal-article","created":{"date-parts":[[2024,7,20]],"date-time":"2024-07-20T13:11:28Z","timestamp":1721481088000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Surgical management of bilateral preaxial and postaxial polydactyly with syndactyly: A case report"],"prefix":"10.1097","volume":"122","author":[{"given":"Yoyos Dias","family":"Ismiarto","sequence":"first","affiliation":[{"name":"Division of Pediatrics Orthopaedic Surgery, Department of Orthopaedics and Traumatology, Faculty of Medicine Universitas Padjadjaran, Bandung, West Java, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirna","family":"Phandu","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universitas Pelita Harapan, Tangerang, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans Kristian","family":"Handoko","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Faculty of Medicine Universitas Padjadjaran, Bandung, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregorius Thomas","family":"Prasetiyo","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Faculty of Medicine Universitas Padjadjaran, Bandung, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fajri Rozi","family":"Kamaris","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Faculty of Medicine Universitas Padjadjaran, Bandung, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tri Taufiqurachman","family":"Telaumbanua","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Faculty of Medicine Universitas Padjadjaran, Bandung, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"1","key":"R1-32-20260325","doi-asserted-by":"crossref","first-page":"13","DOI":"10.5312\/wjo.v14.i1.13","article-title":"Polydactyly: clinical and molecular manifestations","volume":"14","author":"Kyriazis,","year":"2023","journal-title":"World J. Orthop."},{"issue":"2","key":"R2-32-20260325","article-title":"Surgical treatment of bilateral preaxial polydactyly with syndactyly of the hallux in the foot in a 10 month old male: a pediatric case study","volume":"2","author":"Kuah,","year":"2022","journal-title":"Foot Ankle Surg. Tech. Rep. Cases"},{"issue":"5","key":"R3-32-20260325","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int. J. Surg. Lond. Engl."},{"issue":"12","key":"R4-32-20260325","article-title":"Complex hand polydactyly: a case report and literature review","volume":"13","author":"Alzarmah,","year":"2021","journal-title":"Cureus"},{"issue":"50","key":"R5-32-20260325","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000032060","article-title":"A review of polydactyly and its inheritance: connecting the dots","volume":"101","author":"Bubshait,","year":"2022","journal-title":"Medicine (Baltimore)"},{"key":"R6-32-20260325","doi-asserted-by":"crossref","first-page":"447","DOI":"10.3389\/fgene.2018.00447","article-title":"Clinical genetics of polydactyly: an updated review","volume":"9","author":"Umair,","year":"2018","journal-title":"Front. Genet."},{"issue":"4","key":"R7-32-20260325","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1055\/s-0036-1593478","article-title":"Syndactyly release","volume":"30","author":"Braun,","year":"2016","journal-title":"Semin. Plast. 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Sci."},{"key":"R9-32-20260325","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.jpra.2022.01.006","article-title":"Operative technique and management of central foot polydactyly","volume":"32","author":"Kim,","year":"2022","journal-title":"JPRAS Open."},{"key":"R10-32-20260325","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.jpra.2022.05.002","article-title":"Primary treatment of type B post-axial ulnar polydactyly: a systematic review and meta-analysis","volume":"34","author":"Samarendra,","year":"2022","journal-title":"JPRAS Open."},{"issue":"3","key":"R11-32-20260325","doi-asserted-by":"crossref","first-page":"75","DOI":"10.5435\/JAAOS-D-16-00139","article-title":"Polydactyly of the hand","volume":"26","author":"Comer,","year":"2018","journal-title":"J. Am. Acad. Orthop. 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