{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T20:00:10Z","timestamp":1793995210214,"version":"4.8.0"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>Syndactyly release aims to address skin deficits by resurfacing web spaces and sides of digits to allow independent digital motion while minimizing the risk of web creep and scar contractures. Conventional methods include the use of a dorsal and interdigitating flaps with full-thickness skin grafts. More recently, there have been several descriptions of \u201cgraftless\u201d syndactyly release without skin grafts, thus avoiding a further (usually distant) donor site. However, the indications of when and when not to use these techniques remain unclear. In addition, the inevitable scarring from extra recruitment of local adjacent skin is perhaps underemphasized. In this article, we revisit the trilobed flap technique which serves to balance the amount of skin needed for resurfacing digits while minimizing local donor site scarring. The geometry and nuances of the flap inset are illustrated in detail to guide those embarking on this technique. The trilobed syndactyly release technique is a reproducible, safe, and reliable method for the release of simple syndactyly.<\/jats:p>","DOI":"10.1097\/bth.0000000000000472","type":"journal-article","created":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T15:00:05Z","timestamp":1709564405000},"page":"51-59","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Graftless Syndactyly Release"],"prefix":"10.1097","volume":"28","author":[{"given":"Jia","family":"Choong","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Royal Hospital for Children and Young People, Edinburgh, Scotland, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michalis","family":"Hadjiandreou","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, The Royal London Hospital, Barts Health NHS Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pauline","family":"McGee","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Royal Hospital for Children and Young People, Edinburgh, Scotland, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wee Leon","family":"Lam","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Royal Hospital for Children and Young People, Edinburgh, Scotland, UK"},{"name":"Department of Hand Surgery, Singapore General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,6]]},"reference":[{"key":"R1-20250512","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1007\/BF00170318","article-title":"A new technique for the division of syndactyly","volume":"13","author":"Niranjan","year":"1990","journal-title":"Eur J Plast 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results of primary syndactyly correction by the trilobed flap technique","volume":"58","author":"Niranjan","year":"2005","journal-title":"Br J Plast Surg"},{"key":"R12-20250512","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/0266-7681_90_90124-M","article-title":"Syndactyly: Can web creep be avoided?","volume":"15","author":"Moss","year":"1990","journal-title":"J Hand Surg Br"},{"key":"R13-20250512","doi-asserted-by":"crossref","first-page":"e2842","DOI":"10.1097\/GOX.0000000000002842","article-title":"New simple technique for syndactyly release","volume":"8","author":"Grahn","year":"2020","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"R14-20250512","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.jhsa.2016.11.006","article-title":"A systematic review and comparison of outcomes following simple syndactyly reconstruction with skin grafts or a dorsal metacarpal advancement flap","volume":"42","author":"Sullivan","year":"2017","journal-title":"J 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