{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:14:58Z","timestamp":1783509298541,"version":"3.55.0"},"reference-count":17,"publisher":"MDPI AG","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Syndactyly of the toes is a common congenital malformation, yet there are few reports of long-term outcomes after toe syndactyly repair and its effect on well-being. In this study, we surveyed patients and parents of patients who underwent toe syndactyly repair to investigate the functional and psychological outcomes of their surgery.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    We reviewed the medical records of all of the patients who underwent toe syndactyly repair using a plantar flap technique between January 1, 2010, and January 1, 2021. Parents or patients completed a survey assessing their opinion regarding cosmesis, function, and overall satisfaction. Independent observers used a modified Vancouver Scar Scale to evaluate surgical scars.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    A plantar flap technique was used for 19 syndactylous webs in nine patients. Complications included one instance of mild cellulitis and one instance of web creep requiring revision. Average follow-up time was 5.5 years. Overall, 88% of survey respondents were very or moderately satisfied with the surgical outcome. No patients had unwanted hair growth or a bothersome groin site scar. Average modified Vancouver Scar Scale score was 3.2. There was a perceived improvement in toe range of motion and hygiene after surgery. Patients who underwent first web space release could wear flip-flops. All of the respondents would recommend surgery for another child with toe syndactyly.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    Toe syndactyly repair can be performed with minimal complications and high parent\/patient satisfaction. Survey results indicate that there may be functional and psychological benefits to undergoing toe syndactyly repair.\n                  <\/jats:p>","DOI":"10.7547\/22-043","type":"journal-article","created":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T09:46:31Z","timestamp":1742809591000},"source":"Crossref","is-referenced-by-count":1,"title":["Patient-Reported Outcomes After Congenital Toe Syndactyly Repair with a Plantar Triangular Flap"],"prefix":"10.3390","volume":"115","author":[{"given":"Kaylee","family":"O\u2019Connor","sequence":"first","affiliation":[{"name":"Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, TX."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sofia","family":"Gereta","sequence":"additional","affiliation":[{"name":"Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, TX."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah A.","family":"Frommer","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Texas Children\u2019s Hospital, Houston, TX."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven L.","family":"Henry","sequence":"additional","affiliation":[{"name":"Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, TX."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"B1","series-title":"Clin Podiatr Med Surg","first-page":"327","article-title":"Congenital digital deformities","volume":"13","author":"McDaniel L","year":"1996","unstructured":"McDaniel L, Tafuri SA: Congenital digital deformities. Clin Podiatr Med Surg 13: 327, 1996."},{"key":"B2","series-title":"J Am Soc Surg Hand","first-page":"1","article-title":"Syndactyly","volume":"1","author":"Kozin SH","year":"2001","unstructured":"Kozin SH: Syndactyly. J Am Soc Surg Hand 1: 1, 2001."},{"key":"B3","series-title":"Eur J Plast Surg","first-page":"259","article-title":"Progress in surgical strategies for treatment of simple congenital syndactyly: a systematic review","volume":"41","author":"Tian J","year":"2018","unstructured":"Tian J, Wagner T, Hoevenaren I, et al: Progress in surgical strategies for treatment of simple congenital syndactyly: a systematic review. Eur J Plast Surg 41: 259, 2018."},{"key":"B4","series-title":"Plast Reconstr Surg","first-page":"460","article-title":"Syndactylism: results of zig-zag incision to prevent postoperative contractors","volume":"18","author":"Cronin TD","year":"1956","unstructured":"Cronin TD: Syndactylism: results of zig-zag incision to prevent postoperative contractors. Plast Reconstr Surg 18: 460, 1956."},{"key":"B5","series-title":"Plast Reconstr Surg","first-page":"156","article-title":"Aesthetic repair for syndactyly of the toes using a plantar rectangular flap","volume":"126","author":"Kajikawa A","year":"2010","unstructured":"Kajikawa A, Ueda K, Katsuragi Y, et al: Aesthetic repair for syndactyly of the toes using a plantar rectangular flap. Plast Reconstr Surg 126: 156, 2010."},{"key":"B6","series-title":"Plast Reconstr Surg","first-page":"534","article-title":"Reconstruction of incomplete syndactyly of the toes using both dorsal and plantar flaps","volume":"98","author":"Park S","year":"1996","unstructured":"Park S, Eguchi T, Tokioka K, et al: Reconstruction of incomplete syndactyly of the toes using both dorsal and plantar flaps. Plast Reconstr Surg 98: 534, 1996."},{"key":"B7","series-title":"J Plast Reconstr Aesthet Surg","first-page":"535","article-title":"Toe syndactyly revisited","volume":"64","author":"Marsh DJ","year":"2011","unstructured":"Marsh DJ, Floyd D: Toe syndactyly revisited. J Plast Reconstr Aesthet Surg 64: 535, 2011."},{"key":"B8","series-title":"Ann Plast Surg","first-page":"311","article-title":"Linear separation of toe syndactyly with preserved subcutaneous vascular network skin grafts","volume":"78","author":"Aizawa T","year":"2017","unstructured":"Aizawa T, Togashi S, Haga Y, et al: Linear separation of toe syndactyly with preserved subcutaneous vascular network skin grafts. Ann Plast Surg 78: 311, 2017."},{"key":"B9","series-title":"Plast Reconstr Surg Glob Open","first-page":"e793","article-title":"The modified 3-square flap method for reconstruction of toe syndactyly","volume":"4","author":"Iida N","year":"2016","unstructured":"Iida N, Watanabe A: The modified 3-square flap method for reconstruction of toe syndactyly. Plast Reconstr Surg Glob Open 4: e793, 2016."},{"key":"B10","series-title":"Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi","first-page":"1117","article-title":"Effectiveness of dorsal pentagonal flap for reconstruction of the web space in congenital toe syndactyly [in Chinese]","volume":"29","author":"Tao X","year":"2015","unstructured":"Tao X, Wang L, Gao W, et al: Effectiveness of dorsal pentagonal flap for reconstruction of the web space in congenital toe syndactyly [in Chinese]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 29: 1117, 2015."},{"key":"B11","series-title":"Plast Reconstr Surg","first-page":"504e","article-title":"Improved \u201cbell-bottom\u201d flap surgical technique for syndactyly without skin graft","volume":"128","author":"Matsumine H","year":"2011","unstructured":"Matsumine H, Yoshinaga Y, Fujiwara O, et al: Improved \u201cbell-bottom\u201d flap surgical technique for syndactyly without skin graft. Plast Reconstr Surg 128: 504e, 2011."},{"key":"B12","series-title":"Scand J Plast Reconstr Surg Hand Surg","first-page":"148","article-title":"Advantages of open treatment for syndactyly of the foot: defining its indications","volume":"43","author":"Hikosaka M","year":"2009","unstructured":"Hikosaka M, Ogata H, Nakajima T, et al: Advantages of open treatment for syndactyly of the foot: defining its indications. Scand J Plast Reconstr Surg Hand Surg 43: 148, 2009."},{"key":"B13","series-title":"J Hand Surg","first-page":"1755","article-title":"Syndactyly web space reconstruction using the tapered M-to-V flap: a single-surgeon, 30-year experience","volume":"40","author":"Mericli AF","year":"2015","unstructured":"Mericli AF, Black JS, Morgan RF: Syndactyly web space reconstruction using the tapered M-to-V flap: a single-surgeon, 30-year experience. J Hand Surg 40: 1755, 2015."},{"key":"B14","series-title":"Scand J Plast Reconstr Surg Hand Surg","first-page":"150","article-title":"Open treatment of syndactyly of the foot","volume":"37","author":"Kawabata H","year":"2003","unstructured":"Kawabata H, Ariga K, Shibata T, et al: Open treatment of syndactyly of the foot. Scand J Plast Reconstr Surg Hand Surg 37: 150, 2003."},{"key":"B15","series-title":"J Foot Ankle Surg","first-page":"86","article-title":"Reconstruction of syndactyly and polysyndactyly of the toes with a dorsal Pentagonal Island Flap: a technique that allows primary skin closure without the use of skin grafting","volume":"46","author":"Lim YJ","year":"2007","unstructured":"Lim YJ, Teoh LC, Lee EH: Reconstruction of syndactyly and polysyndactyly of the toes with a dorsal Pentagonal Island Flap: a technique that allows primary skin closure without the use of skin grafting. J Foot Ankle Surg 46: 86, 2007."},{"key":"B16","series-title":"Br J Plast Surg","first-page":"306","article-title":"A new operation for syndactyly and polysyndactyly of the foot without skin grafts","volume":"48","author":"Itoh Y","year":"1995","unstructured":"Itoh Y, Arai K: A new operation for syndactyly and polysyndactyly of the foot without skin grafts. Br J Plast Surg 48: 306, 1995."},{"key":"B17","series-title":"Foot Ankle Surg","first-page":"107","article-title":"Surgical treatment in child\u2019s congenital toe syndactyly: risk factor of recurrence, complication and poor clinical outcomes","volume":"28","author":"Langlais T","year":"2022","unstructured":"Langlais T, Rougereau G, Marty-Diloy T, et al: Surgical treatment in child\u2019s congenital toe syndactyly: risk factor of recurrence, complication and poor clinical outcomes. Foot Ankle Surg 28: 107, 2022."}],"container-title":["Journal of the American Podiatric Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/115\/1\/22-043.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/115\/1\/22-043.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/115\/1\/22-043.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:19:55Z","timestamp":1783505995000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1930-8264\/115\/1\/22043"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":17,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.7547\/22-043","relation":{},"ISSN":["8750-7315"],"issn-type":[{"value":"8750-7315","type":"print"}],"subject":[],"published":{"date-parts":[[2025,1]]}}}