{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T03:06:46Z","timestamp":1790824006371,"version":"4.1.0"},"reference-count":16,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T00:00:00Z","timestamp":1744675200000},"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":[[2025,11]]},"abstract":"<jats:p>This study assessed scar healing over a 24-month period after syndactyly release using full-thickness skin autograft or hyaluronic acid matrix skin autograft substitute. A randomized, single-anonymized, within-subject controlled study was used to compare the effectiveness of hyaluronic acid matrix with full-thickness skin autograft, for 40 webs in 18 patients (mean age 1.2 (SD 0.8) years) undergoing syndactyly release. Hyaluronic acid matrix was used on one side of the web and a full-thickness skin autograft on the other. At 12 and 24 months after surgery, healing was assessed using two scar assessment scales and family\/surgeon preferences. Results at final follow-up showed that hyaluronic acid matrix and full-thickness skin autograft had no significant differences in scar formation. When compared with full-thickness skin autograft, hyaluronic acid matrix decreases surgical time and has no donor site morbidity; however, there is an open wound for a longer time after operation, with increased requirements for wound care.<\/jats:p>\n                  <jats:p>\n                    <jats:bold>Level of evidence:<\/jats:bold>\n                    II\n                  <\/jats:p>","DOI":"10.1177\/17531934251334359","type":"journal-article","created":{"date-parts":[[2025,4,15]],"date-time":"2025-04-15T05:32:01Z","timestamp":1744695121000},"page":"1339-1347","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Syndactyly release with skin graft or skin graft substitute: a within-subject controlled trial"],"prefix":"10.1177","volume":"50","author":[{"given":"Deborah C","family":"Bohn","sequence":"first","affiliation":[{"name":"TRIA Orthopedic Center, 8100 Northland Dr, Bloomington, Minnesota, USA"},{"name":"Gillette Children's Specialty Healthcare, 200 University Ave E, Saint Paul, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie N","family":"Price","sequence":"additional","affiliation":[{"name":"Gillette Children's Specialty Healthcare, 200 University Ave E, Saint Paul, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan A","family":"Novotny","sequence":"additional","affiliation":[{"name":"Gillette Children's Specialty Healthcare, 200 University Ave E, Saint Paul, Minnesota, USA"},{"name":"University of Minnesota Department of Rehabilitation Medicine, 500 SE Harvard St SE, Minneapolis, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tonye S","family":"Sylvanus","sequence":"additional","affiliation":[{"name":"Gillette Children's Specialty Healthcare, 200 University Ave E, Saint Paul, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8064-5508","authenticated-orcid":false,"given":"Ann E","family":"Van Heest","sequence":"additional","affiliation":[{"name":"Gillette Children's Specialty Healthcare, 200 University Ave E, Saint Paul, Minnesota, USA"},{"name":"University of Minnesota Department of Orthopedic Surgery, 2450 Riverside Ave Suite200, Minneapolis, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,4,15]]},"reference":[{"key":"e_1_3_5_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1753193420975992"},{"key":"e_1_3_5_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004630-199509000-00013"},{"key":"e_1_3_5_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1558944716668816"},{"key":"e_1_3_5_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181b13ca2"},{"key":"e_1_3_5_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004630-199803000-00019"},{"key":"e_1_3_5_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00130911-199809000-00004"},{"key":"e_1_3_5_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_3_5_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000122207.28773.56"},{"key":"e_1_3_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2022.10.017"},{"key":"e_1_3_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2023.05.043"},{"key":"e_1_3_5_12_1","volume-title":"The care of congenital hand anomalies","author":"Flatt A.","year":"1994","unstructured":"Flatt A. The care of congenital hand anomalies, 2nd edn. 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