{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T11:44:51Z","timestamp":1782301491521,"version":"3.54.5"},"reference-count":20,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2015,11,5]],"date-time":"2015-11-05T00:00:00Z","timestamp":1446681600000},"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>Syndactyly is usually corrected surgically during the first years of life. The trilobed flap, a surgical method that does not require skin grafting, was developed in the 1990s and the short-term results were comparable with previously reported techniques. Here we report on long-term outcomes, focusing on how children perceive their hand function and quality of life when they grow up. A total of 19 patients (29 web spaces) were operated on between 1990 and 2000, and followed-up 16\u2009years later with questionnaires and clinical tests. The patients reported low QuickDASH scores, normal sensibility and dexterity, and minor cold intolerance. Only two reoperations, due to early web creep, were needed. The condition minimally affected the choice of occupations, leisure activities and perceptions of appearance. The trilobed flap technique for release of syndactyly provides a good long-term outcome with good hand function and minimal impact on the quality of life.<\/jats:p>\n                  <jats:p>Level of evidence: IV.<\/jats:p>","DOI":"10.1177\/1753193415613724","type":"journal-article","created":{"date-parts":[[2015,11,6]],"date-time":"2015-11-06T21:03:36Z","timestamp":1446843816000},"page":"315-321","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":18,"title":["Long-term results of syndactyly correction by the trilobed flap technique focusing on hand function and quality of life"],"prefix":"10.1177","volume":"41","author":[{"given":"A.","family":"Widerberg","sequence":"first","affiliation":[{"name":"Department of Hand Surgery, Sk\u00e5ne University Hospital, Malm\u00f6, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Sommerstein","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Sk\u00e5ne University Hospital, Malm\u00f6, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L. B.","family":"Dahlin","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Sk\u00e5ne University Hospital, Malm\u00f6, Sweden"},{"name":"Department of Translational Medicine, Lund University, Malm\u00f6, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.-E.","family":"Rosberg","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Sk\u00e5ne University Hospital, Malm\u00f6, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,11,5]]},"reference":[{"key":"bibr1-1753193415613724","doi-asserted-by":"publisher","DOI":"10.1177\/1753193413481302"},{"key":"bibr2-1753193415613724","doi-asserted-by":"publisher","DOI":"10.1177\/1753193414523247"},{"key":"bibr3-1753193415613724","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-11-89"},{"key":"bibr4-1753193415613724","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200401000-00006"},{"key":"bibr5-1753193415613724","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(02)00306-6"},{"key":"bibr6-1753193415613724","doi-asserted-by":"publisher","DOI":"10.1177\/1753193415594101"},{"key":"bibr7-1753193415613724","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(05)80195-0"},{"key":"bibr8-1753193415613724","doi-asserted-by":"publisher","DOI":"10.1080\/02844319950159154"},{"key":"bibr9-1753193415613724","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2002.tb03290.x"},{"key":"bibr10-1753193415613724","first-page":"267","volume":"10","author":"Hajnis K","year":"1968","journal-title":"Acta Chir Plast"},{"key":"bibr11-1753193415613724","doi-asserted-by":"publisher","DOI":"10.4045\/tidsskr.13.0147"},{"key":"bibr12-1753193415613724","doi-asserted-by":"publisher","DOI":"10.1177\/1753193414529046"},{"key":"bibr13-1753193415613724","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2010.04.033"},{"key":"bibr14-1753193415613724","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.39.6.386"},{"key":"bibr15-1753193415613724","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681_90_90124-M"},{"key":"bibr16-1753193415613724","doi-asserted-by":"publisher","DOI":"10.1007\/BF00170318"},{"key":"bibr17-1753193415613724","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2004.05.031"},{"key":"bibr18-1753193415613724","doi-asserted-by":"publisher","DOI":"10.1111\/j.1529-8027.2011.00318.x"},{"key":"bibr19-1753193415613724","doi-asserted-by":"publisher","DOI":"10.1177\/1753193408096763"},{"key":"bibr20-1753193415613724","doi-asserted-by":"publisher","DOI":"10.1054\/jhsb.2000.0575"}],"container-title":["Journal of Hand Surgery (European Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753193415613724","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1753193415613724","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753193415613724","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:47:19Z","timestamp":1777502839000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1753193415613724"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,11,5]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2016,3]]}},"alternative-id":["10.1177\/1753193415613724"],"URL":"https:\/\/doi.org\/10.1177\/1753193415613724","relation":{},"ISSN":["1753-1934","2043-6289"],"issn-type":[{"value":"1753-1934","type":"print"},{"value":"2043-6289","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,11,5]]}}}