{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:04:11Z","timestamp":1777853051774,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2015,10,24]],"date-time":"2015-10-24T00:00:00Z","timestamp":1445644800000},"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":[[2016,3]]},"abstract":"<jats:p>Various surgical techniques are described for separation of syndactylies leading to good results. However, the use of standard techniques is limited in complex syndactylies with extensive bony fusion and tight soft tissues. The aim of this study was to assess the outcomes of a two-stage procedure involving progressive soft tissue distraction prior to syndactyly release. Between 1996 and 2012 we treated 168 complex syndactylies with this technique. The main indications were syndactylies in Apert syndrome. The digits were distracted through an external fixator at 0.5\u2009mm\/day. Distraction of 15\u201325\u2009mm was achieved. Soft tissue distraction provided additional skin, a wider nail matrix and more bone in the form of callus. Thus subsequent modelling of the fingertips was improved, especially if they were closely fused. This technique facilitates treatment of complex cases and improves aesthetic outcome.<\/jats:p>\n                  <jats:p>Level of evidence: Therapeutic IV<\/jats:p>","DOI":"10.1177\/1753193415612380","type":"journal-article","created":{"date-parts":[[2015,10,24]],"date-time":"2015-10-24T20:19:05Z","timestamp":1445717945000},"page":"308-314","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Transverse soft tissue distraction preceding separation of complex syndactylies"],"prefix":"10.1177","volume":"41","author":[{"given":"J. A.","family":"Lohmeyer","sequence":"first","affiliation":[{"name":"Department of Hand Surgery, Catholic Children\u2019s Hospital Wilhelmstift, Hamburg, Germany"},{"name":"Department of Plastic Surgery, Agaplesion Diakonieklinikum Hamburg, Hamburg, Germany"},{"name":"Department of Plastic Surgery and Hand Surgery, Technische Universit\u00e4t M\u00fcnchen, Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W.","family":"H\u00fclsemann","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Catholic Children\u2019s Hospital Wilhelmstift, Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Mann","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Catholic Children\u2019s Hospital Wilhelmstift, Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Habenicht","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Catholic Children\u2019s Hospital Wilhelmstift, Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,10,24]]},"reference":[{"key":"bibr1-1753193415612380","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(05)80087-7"},{"key":"bibr2-1753193415612380","doi-asserted-by":"publisher","DOI":"10.1177\/1753193414523247"},{"key":"bibr3-1753193415612380","first-page":"159","volume-title":"Congenital malformations of the hand and forearm","volume":"1","author":"Blauth W","year":"1998"},{"key":"bibr4-1753193415612380","doi-asserted-by":"publisher","DOI":"10.1201\/b14332-8"},{"key":"bibr5-1753193415612380","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.1993.tb01002.x"},{"key":"bibr6-1753193415612380","first-page":"1381","volume-title":"Green\u2019s operative hand surgery","volume":"2","author":"Kay SP","year":"2005","edition":"5"},{"key":"bibr7-1753193415612380","doi-asserted-by":"publisher","DOI":"10.1177\/1753193414529046"},{"key":"bibr8-1753193415612380","first-page":"267","volume-title":"Limb malformations","author":"Meenen U","year":"2014"},{"key":"bibr9-1753193415612380","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0000000000000116"},{"key":"bibr10-1753193415612380","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-198912000-00014"},{"key":"bibr11-1753193415612380","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199302000-00001"},{"key":"bibr12-1753193415612380","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-007-0348-3"},{"key":"bibr13-1753193415612380","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-1298(20)30826-9"}],"container-title":["Journal of Hand Surgery (European Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753193415612380","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1753193415612380","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753193415612380","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:47:18Z","timestamp":1777502838000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1753193415612380"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,10,24]]},"references-count":13,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2016,3]]}},"alternative-id":["10.1177\/1753193415612380"],"URL":"https:\/\/doi.org\/10.1177\/1753193415612380","relation":{},"ISSN":["1753-1934","2043-6289"],"issn-type":[{"value":"1753-1934","type":"print"},{"value":"2043-6289","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,10,24]]}}}