{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,12]],"date-time":"2025-04-12T07:48:42Z","timestamp":1744444122512,"version":"3.37.3"},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2022,9,7]],"date-time":"2022-09-07T00:00:00Z","timestamp":1662508800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Soft tissue defects of the multiple finger present challenges to reconstruction surgeons. Here, we introduce the use of a lateral arm free flap and syndactylization for the coverage of multiple finger soft tissue defects.<\/jats:p><jats:p>\n          Methods\u2003This retrospective study was conducted based on reviews of the medical records of 13 patients with multiple soft tissue defects of fingers (n\u2009=\u200933) that underwent temporary syndactylization with a microvascular lateral arm flap for temporary syndactylization from January 2010 to December 2020. Surgical and functional outcomes, times of flap division, complications, and demographic data were analyzed.<\/jats:p><jats:p>\n          Results\u2003Middle fingers were most frequently affected, followed by ring and index fingers. Mean patient age was 43.58 years. The 13 patients had suffered 10 traumas, 2 thermal burns, and 1 scar contracture. Release of temporary syndactyly was performed 3 to 9 weeks after syndactylization. All flaps survived, but partial necrosis occurred in one patient, who required a local transposition flap after syndactylization release. The mean follow-up was 15.8 months.<\/jats:p><jats:p>\n          Conclusion\u2003Coverage of multiple finger defects by temporary syndactylization using a free lateral arm flap with subsequent division offers an alternative treatment option.<\/jats:p>","DOI":"10.1055\/a-1938-0691","type":"journal-article","created":{"date-parts":[[2022,9,7]],"date-time":"2022-09-07T22:46:05Z","timestamp":1662590765000},"page":"745-749","source":"Crossref","is-referenced-by-count":2,"title":["Reconstruction of Multiple Digital Defects by Temporary Syndactylization Using a Lateral Arm Free Flap"],"prefix":"10.1055","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9194-9681","authenticated-orcid":false,"given":"Sae Hwi","family":"Ki","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Inha University Hospital, Incheon, People's Republic of Korea"},{"name":"Department of Plastic and Reconstructive Surgery, School of Medicine, Inha University, Incheon, People's Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8129-0753","authenticated-orcid":false,"given":"Jin Myung","family":"Yoon","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Inha University Hospital, Incheon, People's Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2811-2904","authenticated-orcid":false,"given":"Tae Jun","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Inha University Hospital, Incheon, People's Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7849-1861","authenticated-orcid":false,"given":"M. Seung Suk","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Hanyang University Guri Hospital, Guri-si, Gyeonggi-do, South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8587-7420","authenticated-orcid":false,"given":"Min Ki","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Inha University Hospital, Incheon, People's Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,12,13]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/S0020-1383(99)00205-3","article-title":"Donor finger morbidity in cross-finger flaps","volume":"31","author":"P Paterson","year":"2000","journal-title":"Injury"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"1006","DOI":"10.1097\/00006534-199804040-00018","article-title":"The reverse digital artery island flap: clinical experience in 120 fingers","volume":"101","author":"S K Han","year":"1998","journal-title":"Plast Reconstr Surg"},{"issue":"08","key":"ref3","doi-asserted-by":"crossref","first-page":"1171","DOI":"10.1007\/s00402-019-03198-4","article-title":"Long-term outcome of fingertip reconstruction with the homodigital neurovascular island flap","volume":"139","author":"A Arsalan-Werner","year":"2019","journal-title":"Arch Orthop Trauma Surg"},{"issue":"07","key":"ref4","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1016\/j.bjps.2007.03.011","article-title":"The evolution and refinements of the distally based dorsal metacarpal artery (DMCA) flaps","volume":"60","author":"H Gregory","year":"2007","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"07","key":"ref5","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1016\/j.bjps.2004.05.009","article-title":"\u201cDistally based dorsal hand flaps\u201d: clinical experience, cadaveric studies and an update","volume":"57","author":"G Vuppalapati","year":"2004","journal-title":"Br J Plast Surg"},{"issue":"06","key":"ref6","doi-asserted-by":"crossref","first-page":"1823","DOI":"10.1097\/01.prs.0000259094.68803.3d","article-title":"A retrospective analysis of 154 arterialized venous flaps for hand reconstruction: an 11-year experience","volume":"119","author":"S H Woo","year":"2007","journal-title":"Plast Reconstr Surg"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1097\/01.prs.0000299945.03655.0d","article-title":"Partial second toe pulp free flap for fingertip reconstruction","volume":"121","author":"D C Lee","year":"2008","journal-title":"Plast Reconstr Surg"},{"issue":"09","key":"ref8","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1016\/j.jhsa.2016.06.006","article-title":"Defining the indications of pedicled groin and abdominal flaps in hand reconstruction in the current microsurgery era","volume":"41","author":"M M Al-Qattan","year":"2016","journal-title":"J Hand Surg Am"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1097\/01.prs.0000173059.73982.50","article-title":"Hand reconstruction using the thin anterolateral thigh flap","volume":"116","author":"R Adani","year":"2005","journal-title":"Plast Reconstr Surg"},{"issue":"01","key":"ref10","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.bjps.2013.10.007","article-title":"Multiple-digit resurfacing using a thin latissimus dorsi perforator flap","volume":"67","author":"S W Kim","year":"2014","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"01","key":"ref11","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.hansur.2019.11.003","article-title":"Fingertip reconstruction by palmar bipedicular island flap in long fingers (modified neurovascular Tranquilli-Leali flap): A dual-center study","volume":"39","author":"J S\u00e9rane-Fresnel","year":"2020","journal-title":"Hand Surg Rehabil"},{"issue":"05","key":"ref12","doi-asserted-by":"crossref","first-page":"921","DOI":"10.2106\/00004623-197052050-00006","article-title":"Reconstruction of the amputated finger tip with a triangular volar flap. A new surgical procedure","volume":"52","author":"E Atasoy","year":"1970","journal-title":"J Bone Joint Surg Am"},{"issue":"06","key":"ref13","doi-asserted-by":"crossref","first-page":"1226","DOI":"10.1016\/j.jhsa.2013.03.025","article-title":"The anterograde homodigital neurovascular island flap","volume":"38","author":"R D Katz","year":"2013","journal-title":"J Hand Surg Am"},{"issue":"02","key":"ref14","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/0007-1226(88)90035-5","article-title":"Step-advancement island flap for fingertip reconstruction","volume":"41","author":"D M Evans","year":"1988","journal-title":"Br J Plast Surg"},{"issue":"05","key":"ref15","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1097\/SAP.0000000000000296","article-title":"Lateral arm free flap with preservation of the posterior antebrachial cutaneous nerve","volume":"76","author":"S H Ki","year":"2016","journal-title":"Ann Plast Surg"},{"issue":"02","key":"ref16","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1097\/01.sap.0000232832.18894.2b","article-title":"Free lateral arm flap for 1-stage reconstruction of soft tissue and composite defects of the hand: a retrospective analysis of 118 cases","volume":"58","author":"B G Ulusal","year":"2007","journal-title":"Ann Plast Surg"},{"issue":"02","key":"ref17","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1097\/01.sap.0000148238.19330.11","article-title":"The truly distal lateral arm flap: rationale and risk factors of a microsurgical workhorse in 30 patients","volume":"54","author":"J J Hage","year":"2005","journal-title":"Ann Plast Surg"},{"issue":"03","key":"ref18","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1002\/ca.10140","article-title":"Lateral arm flap: analysis of its anatomy and modification using a vascularized fragment of the distal humerus","volume":"16","author":"A Hennerbichler","year":"2003","journal-title":"Clin Anat"}],"container-title":["Archives of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1938-0691.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,14]],"date-time":"2022-12-14T06:15:23Z","timestamp":1670998523000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1938-0691"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,7]]},"references-count":18,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2022,12,13]]},"published-print":{"date-parts":[[2022,11]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1938-0691","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2234-6163","2234-6171"],"issn-type":[{"type":"print","value":"2234-6163"},{"type":"electronic","value":"2234-6171"}],"subject":[],"published-other":{"date-parts":[[2022,9,7]]},"published":{"date-parts":[[2022,9,7]]}}}