Long-term results of primary syndactyly correction by the trilobed flap technique  N.S. Niranjan, S.M. Azad, A.N.M. Fleming, S.H. Liew  British Journal of Plastic Surgery  Volume 58, Issue 1, Pages 14-21 (January 2005) DOI: 10.1016/j.bjps.2004.05.031

Figure 1 Dorsal and ventral aspect of digits with syndactyly, showing flap markings. British Journal of Plastic Surgery 2005 58, 14-21DOI: (10.1016/j.bjps.2004.05.031)

Figure 2 Trilobed flap elevated, leaving the dorsal veins on the digits. British Journal of Plastic Surgery 2005 58, 14-21DOI: (10.1016/j.bjps.2004.05.031)

Figure 3 Flaps sutured in place. British Journal of Plastic Surgery 2005 58, 14-21DOI: (10.1016/j.bjps.2004.05.031)

Figure 4 End on view of web space with the trilobed flap and the zig-zag incisions. Note that skin grafts have not been used. British Journal of Plastic Surgery 2005 58, 14-21DOI: (10.1016/j.bjps.2004.05.031)

Figure 5 Case No. 1. A patient with complete syndactyly of the third web space of the left hand. (A) Dorsal aspect of left hand, (B) Ventral aspect of the left hand. British Journal of Plastic Surgery 2005 58, 14-21DOI: (10.1016/j.bjps.2004.05.031)

Figure 6 Case No. 1. Long term follow-up views. (A) Dorsal aspect of hand at 10 years follow-up. (B) Ventral aspect of the same hand. (C) Close up of the operated web. British Journal of Plastic Surgery 2005 58, 14-21DOI: (10.1016/j.bjps.2004.05.031)

Figure 7 Case No. 2. A patient with bilateral syndactyly affecting the third web space. (A) Dorsal view of the hands. (B) Ventral view of the hands. British Journal of Plastic Surgery 2005 58, 14-21DOI: (10.1016/j.bjps.2004.05.031)

Figure 8 Case No. 2. Long term follow-up views. (A) Dorsal view of the hands. (B) Ventral view of the hands. British Journal of Plastic Surgery 2005 58, 14-21DOI: (10.1016/j.bjps.2004.05.031)

Figure 9 Case No. 2. Close up views of the web space. (A) Close up view of the third web space of the left hand. (B) Close up view of the third web space of the right hand. British Journal of Plastic Surgery 2005 58, 14-21DOI: (10.1016/j.bjps.2004.05.031)

Figure 10 Case No. 3. Patient with web creep. (A) Dorsal view of the hand. (B) Ventral view of the hand. (C) Trilobed flap elevated. (D) Immediate postoperative dorsal view of the hand. (E) Immediate postoperative ventral view of the hand. British Journal of Plastic Surgery 2005 58, 14-21DOI: (10.1016/j.bjps.2004.05.031)