{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T06:08:45Z","timestamp":1785305325161,"version":"3.55.0"},"reference-count":22,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2012,10,1]],"date-time":"2012-10-01T00:00:00Z","timestamp":1349049600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2013,3]]},"abstract":"<jats:p>An aesthetically pleasing fingertip is an important but often under evaluated goal in syndactyly release. We assessed the aesthetic fingertip outcome in 26 patients with complete syndactylies, with a total of 84 separated digits, using a four-grade scale based on the quality of the lateral nail fold, nail plate definition, symmetry and pulp fullness. Fingertips with complete simple syndactylies released with the use of full-thickness skin grafts achieved a significantly better aesthetic result then fingertips with complete complex syndactylies released with the use of Buck-Gramcko pulp flaps. Fingertips involved in complex syndactylies achieved significantly better aesthetic results when reconstructed using Buck-Gramcko flaps in comparison with those reconstructed with full-thickness skin grafts. We recommend the use of Buck-Gramcko flaps in complete complex syndactylies, while reserve the traditional zig-zag and full-thickness skin graft closure for cases of complete simple syndactylies. We also propose a grading system for the aesthetic outcome of the fingertip following syndactyly release.<\/jats:p>","DOI":"10.1177\/1753193412461583","type":"journal-article","created":{"date-parts":[[2012,10,2]],"date-time":"2012-10-02T01:33:57Z","timestamp":1349141637000},"page":"281-287","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":21,"title":["Long-term aesthetic outcome of fingertip reconstruction in complete syndactyly release"],"prefix":"10.1177","volume":"38","author":[{"given":"K.","family":"Bulic","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery, University Hospital Zagreb, Zagreb, Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2012,10,1]]},"reference":[{"key":"bibr1-1753193412461583","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000096440.14697.e5"},{"key":"bibr2-1753193412461583","first-page":"523","volume":"117","author":"Blauth W","year":"1979","journal-title":"Z Orthop Ihre Grenzgeb"},{"key":"bibr3-1753193412461583","first-page":"12.22","volume-title":"Hand Surgery","volume":"1","author":"Buck-Gramcko D","year":"1988"},{"key":"bibr4-1753193412461583","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200401000-00006"},{"key":"bibr5-1753193412461583","doi-asserted-by":"publisher","DOI":"10.1080\/08998280.2005.11928029"},{"key":"bibr6-1753193412461583","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-011-9654-7"},{"key":"bibr7-1753193412461583","doi-asserted-by":"publisher","DOI":"10.1054\/jhsb.1999.0302"},{"key":"bibr8-1753193412461583","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181c49686"},{"key":"bibr9-1753193412461583","doi-asserted-by":"publisher","DOI":"10.1097\/BTH.0b013e3181cf7d70"},{"key":"bibr10-1753193412461583","first-page":"199","volume":"14","author":"Johansson SH","year":"1982","journal-title":"Handchir Mikrochir Plast Chir"},{"key":"bibr11-1753193412461583","doi-asserted-by":"publisher","DOI":"10.1177\/1753193410362638"},{"key":"bibr12-1753193412461583","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2010.04.033"},{"key":"bibr13-1753193412461583","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(91)90123-6"},{"key":"bibr14-1753193412461583","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199610000-00018"},{"key":"bibr15-1753193412461583","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-008-9134-y"},{"key":"bibr16-1753193412461583","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199806000-00013"},{"key":"bibr17-1753193412461583","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(92)90105-X"},{"key":"bibr18-1753193412461583","doi-asserted-by":"publisher","DOI":"10.1097\/00004630-199005000-00014"},{"key":"bibr19-1753193412461583","doi-asserted-by":"publisher","DOI":"10.1142\/S0218810404002339"},{"key":"bibr20-1753193412461583","doi-asserted-by":"publisher","DOI":"10.1177\/1753193411402146"},{"key":"bibr21-1753193412461583","doi-asserted-by":"publisher","DOI":"10.1054\/jhsb.2000.0575"},{"key":"bibr22-1753193412461583","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e3181fc055a"}],"container-title":["Journal of Hand Surgery (European Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753193412461583","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1753193412461583","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753193412461583","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:49:09Z","timestamp":1777502949000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1753193412461583"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,10,1]]},"references-count":22,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2013,3]]}},"alternative-id":["10.1177\/1753193412461583"],"URL":"https:\/\/doi.org\/10.1177\/1753193412461583","relation":{},"ISSN":["1753-1934","2043-6289"],"issn-type":[{"value":"1753-1934","type":"print"},{"value":"2043-6289","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,10,1]]}}}