{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:49:47Z","timestamp":1787755787326,"version":"build-2784847793"},"reference-count":54,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    <jats:list list-type=\"plain\">\n                      <jats:list-item>\n                        <jats:p>\u00bb First web contractures can be due to nonthermal trauma, burns, congenital differences, and Dupuytren contracture.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb Mild cases are managed with contracture release and full-thickness skin graft or when surrounding skin is pliable, Z-plasty.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb Release of severe contractures creates a tetrahedral void that may require local or distant flap coverage. Reconstructive options include dorsal transposition flaps, regional rotation flaps, free tissue transfer, first metacarpal distraction osteogenesis with web deepening, or pollicization.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.2106\/jbjs.oa.24.00025","type":"journal-article","created":{"date-parts":[[2024,10,22]],"date-time":"2024-10-22T14:00:38Z","timestamp":1729605638000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Operative First Web Contracture Management: Current Strategies"],"prefix":"10.2106","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6384-1040","authenticated-orcid":false,"given":"Doyle R.","family":"Wallace","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Medical College of Georgia, Augusta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Waldo E.","family":"Floyd","sequence":"additional","affiliation":[{"name":"OrthoGeorgia, Macon, Georgia"},{"name":"Department of Surgery (Hand) at Mercer University School of Medicine, Macon, Georgia"},{"name":"Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,10]]},"reference":[{"issue":"15","key":"R2-20250310","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1056\/NEJM195604122541501","article-title":"Adduction contracture of the thumb","volume":"254","author":"Flynn","year":"1956","journal-title":"N Engl J Med"},{"issue":"4","key":"R3-20250310","doi-asserted-by":"crossref","first-page":"609","DOI":"10.2106\/00004623-195941040-00006","article-title":"Excision of the greater multangular bone as an adjunct to mobilization of the thumb","volume":"41-A","author":"Goldner","year":"1959","journal-title":"J Bone Joint Surg Am"},{"issue":"2","key":"R4-20250310","doi-asserted-by":"crossref","first-page":"267","DOI":"10.2106\/00004623-195032020-00004","article-title":"Contracture of the thumb web","volume":"32A","author":"Howard","year":"1950","journal-title":"J Bone Joint Surg Am"},{"key":"R5-20250310","first-page":"188","article-title":"The prevention and the correction of adduction contracture of the thumb","volume":"13","author":"Littler","year":"1959","journal-title":"Clin Orthop Relat Res"},{"issue":"1","key":"R6-20250310","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/S0363-5023(76)80024-X","article-title":"On making a thumb: one hundred years of surgical effort","volume":"1","author":"Littler","year":"1976","journal-title":"J Hand Surg Am"},{"issue":"3","key":"R8-20250310","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1016\/0363-5023(93)90103-A","article-title":"First web space contracture and hand function","volume":"18","author":"Jensen","year":"1993","journal-title":"J Hand Surg Am"},{"issue":"3","key":"R9-20250310","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1097\/BTH.0000000000000123","article-title":"Prevention of thumb web space contracture with multiplanar external fixation","volume":"20","author":"Harper","year":"2016","journal-title":"Tech Hand Up Extrem Surg"},{"issue":"3","key":"R10-20250310","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1016\/S0072-968X(77)80111-3","article-title":"Control of first web space contracture. 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