{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:06:45Z","timestamp":1777853205182,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2019,10,30]],"date-time":"2019-10-30T00:00:00Z","timestamp":1572393600000},"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":[[2020,2]]},"abstract":"<jats:p>We reviewed outcomes of a modified trident flap technique in 83 patients for a series of partial syndactyly releases performed by a single operator over 30 years. Only patients with at least 3 years of follow-up (range 3 to 27 years) were included. One-hundred and twenty-seven procedures were performed for 83 patients, and no cases of flap necrosis occurred. Three hands had Grade 1 web creep on Withey\u2019s semi-quantitative scoring system, and two had Grade 2 web creep. Revision surgery was required for one minor contracture and one intermediate contracture. Abduction angles of up to 30\u00b0 were measured for operated adjacent fingers. The mean satisfaction score of the child or parents on the visual analogue scale was 1.1. The trident flap is a safe procedure, with excellent functional and cosmetic outcomes. The residual scarring is limited to the web, and there is no scarring on the dorsum of the hand.<\/jats:p>\n                  <jats:p>Level of evidence: IV<\/jats:p>","DOI":"10.1177\/1753193419882900","type":"journal-article","created":{"date-parts":[[2019,10,30]],"date-time":"2019-10-30T09:17:08Z","timestamp":1572427028000},"page":"181-186","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Release of partial syndactyly using a trident flap without skin grafting"],"prefix":"10.1177","volume":"45","author":[{"given":"St\u00e9phane","family":"Guero","sequence":"first","affiliation":[{"name":"Institut de la Main, Clinique Bizet, Paris, France"},{"name":"H\u00f4pital Necker-Enfants Malades, Universit\u00e9 Paris Descartes, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,10,30]]},"reference":[{"key":"bibr1-1753193419882900","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198209000-00009"},{"key":"bibr2-1753193419882900","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000096440.14697.e5"},{"key":"bibr3-1753193419882900","doi-asserted-by":"publisher","DOI":"10.1016\/J.JHSB.2004.02.014"},{"key":"bibr4-1753193419882900","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(05)80193-7"},{"key":"bibr5-1753193419882900","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000007639"},{"key":"bibr6-1753193419882900","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(05)80195-0"},{"key":"bibr7-1753193419882900","unstructured":"Flatt AE The care of congenital hand anomalies, 2nd edn. 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