{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T18:10:07Z","timestamp":1769883007077,"version":"3.49.0"},"reference-count":19,"publisher":"Japan Society of Plastic and Reconstructive Surgery","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPRS"],"published-print":{"date-parts":[[2026,1,27]]},"DOI":"10.53045\/jprs.2024-0023","type":"journal-article","created":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T17:12:50Z","timestamp":1741281170000},"page":"27-33","source":"Crossref","is-referenced-by-count":0,"title":["A Case of Complex Syndactyly with Apert Syndrome Treated with a Two-stage Interdigital Reconstruction Using Adipose Flaps"],"prefix":"10.53045","volume":"5","author":[{"given":"Ayaka","family":"Kitada","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Sapporo Medical University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takatoshi","family":"Yotsuyanagi","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Sapporo Medical University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiro","family":"Harada","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Sapporo Medical University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naohiro","family":"Ueda","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Sapporo Medical University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asako","family":"Miyabayashi","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Sapporo Medical University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinji","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Sapporo Medical University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ken","family":"Yamashita","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Sapporo Medical University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"31107","reference":[{"key":"1","unstructured":"1. Kitada A, Yotsuyanagi T, Katono N, et al. Two-stage procedure with fat flap for treating complex syndactyly. JJ Plast Reconstr Surg. 2022; 65: 357-65."},{"key":"2","doi-asserted-by":"crossref","unstructured":"2. Yamashita K, Yotsuyanagi T, Yamauchi M, et al. Subcutaneous pedicle V-Y flap for release of incomplete congenital syndactyly. J Plast Reconstr Aesthet Surg. 2016; 69 (8): e186-91.","DOI":"10.1016\/j.bjps.2016.04.014"},{"key":"3","doi-asserted-by":"crossref","unstructured":"3. Rebelo N, Duarte R, Costa MJ, et al. Acrocephalosyndactyly - the coalesced hand. Eur J Pediatr Surg. 2002; 12 (1): 49-55.","DOI":"10.1055\/s-2002-25083"},{"key":"4","doi-asserted-by":"crossref","unstructured":"4. Guero SJ. Algorithm for treatment of apert hand. Tech Hand Up Extrem Surg. 2005; 9 (3): 126-33.","DOI":"10.1097\/01.bth.0000185378.87246.61"},{"key":"5","doi-asserted-by":"crossref","unstructured":"5. Chhen MM, Kreiborg S. Hands and feet in the Apert syndrome. Am J Med Genet. 1995; 22 (57): 82-96.","DOI":"10.1002\/ajmg.1320570119"},{"key":"6","doi-asserted-by":"crossref","unstructured":"6. Raposo-Amaral CE, Denadai R, Furlan P, et al. Treatment of apert Hand syndrome: strategies for achieving a five-digit hand. Plast Reconstr Surg. 2018; 142 (4): 972-82.","DOI":"10.1097\/PRS.0000000000004815"},{"key":"7","doi-asserted-by":"crossref","unstructured":"7. Percival NJ, Sykes PJ. Syndactyly: a review of the factors which influence surgical treatment. J Hand Surg Br. 1989; 14 (2): 196-200.","DOI":"10.1016\/0266-7681_89_90125-3"},{"key":"8","doi-asserted-by":"crossref","unstructured":"8. Kvernmo HD, Haugstvedt JR. Treatment of congenital syndactyly of the fingers. Tidsskr Nor Laegeforen. 2013; 133 (15): 1591-5.","DOI":"10.4045\/tidsskr.13.0147"},{"key":"9","doi-asserted-by":"crossref","unstructured":"9. Fearon JA. Treatment of the hands and feet in Apert syndrome: an evolution in management. Plast Reconstr Surg. 2003; 112 (1): 1-12; discussion 13.","DOI":"10.1097\/01.PRS.0000065908.60382.17"},{"key":"10","doi-asserted-by":"crossref","unstructured":"10. Dao KD, Shin AY, Billings A, et al. Surgical treatment of congenital syndactyly of the hand. J Am Acad Orthop Surg. 2004; 12 (1): 39-48.","DOI":"10.5435\/00124635-200401000-00006"},{"key":"11","doi-asserted-by":"crossref","unstructured":"11. Harvey I, Brown S, Ayres O, et al. The Apert hand--angiographic planning of a single-stage, 5-digit release for all classes of deformity. J Hand Surg Am. 2012; 37 (1): 152-8.","DOI":"10.1016\/j.jhsa.2011.10.017"},{"key":"12","doi-asserted-by":"crossref","unstructured":"12. Nishimoto S, Fukuda K, Fujiwara T, et al. Infrared venography of the hand in Apert syndrome. Indian J Plast Surg. 2013; 46 (3): 584-6.","DOI":"10.4103\/0970-0358.122027"},{"key":"13","doi-asserted-by":"crossref","unstructured":"13. Thomson HG. Isolated acrosyndactyly: avoiding post-operative contracture. Br J Plast Surg. 1971; 24 (4): 357-60.","DOI":"10.1016\/S0007-1226(71)80090-5"},{"key":"14","doi-asserted-by":"crossref","unstructured":"14. Sommerkamp TG, Ezaki M, Carter PR, et al. The pulp plasty: a composite graft for complete syndactyly fingertip separations. J Hand Surg Am. 1992; 17 (1): 15-20.","DOI":"10.1016\/0363-5023(92)90105-X"},{"key":"15","doi-asserted-by":"crossref","unstructured":"15. van der, Biezen JJ, Bloem JJAM. The double opposing palmar flaps in complex syndactyly. J Hand Surg Am. 1992; 17 (6): 1059-64.","DOI":"10.1016\/S0363-5023(09)91062-0"},{"key":"16","doi-asserted-by":"crossref","unstructured":"16. Buck-Gramcko D. Progress in the treatment of congenital malformations of the hand. World J Surg. 1990; 14 (6): 715-24.","DOI":"10.1007\/BF01670518"},{"key":"17","doi-asserted-by":"crossref","unstructured":"17. Bulic K. Long-term aesthetic outcome of fingertip reconstruction in complete syndactyly release. J Hand Surg Eur. 2013; 38 (3): 281-7.","DOI":"10.1177\/1753193412461583"},{"key":"18","doi-asserted-by":"crossref","unstructured":"18. Jung JJ, Woo AS, Borschel GH. The use of Integra<sup>\u00ae<\/sup> bilaminar dermal regeneration template in apert syndactyly reconstruction: a novel alternative to simplify care and improve outcomes. J Plast Reconstr Aesthet Surg. 2012; 65 (1): 118-21.","DOI":"10.1016\/j.bjps.2011.06.033"},{"key":"19","doi-asserted-by":"crossref","unstructured":"19. Miyanaga T, Shimada K, Kishibe M, et al. Perifascial areolar tissue grafting for treating syndactyly with bone fusion in patients with Apert syndrome. J Plast Surg Hand Surg. 2016; 50 (1): 40-3.","DOI":"10.3109\/2000656X.2015.1071260"}],"container-title":["Journal of Plastic and Reconstructive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/jprs\/5\/1\/5_2024-0023\/_pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T03:57:49Z","timestamp":1769831869000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/jprs\/5\/1\/5_2024-0023\/_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,27]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.53045\/jprs.2024-0023","relation":{},"ISSN":["2436-259X"],"issn-type":[{"value":"2436-259X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,27]]},"article-number":"2024-0023"}}