1. 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 (January 2005)
DOI: /j.bjps

2. Figure 1
Dorsal and ventral aspect of digits with syndactyly, showing flap markings.
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3. Figure 2
Trilobed flap elevated, leaving the dorsal veins on the digits.
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4. Figure 3 Flaps sutured in place.
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5. 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.
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6. 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.
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7. 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.
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8. 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.
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9. Figure 8
Case No. 2. Long term follow-up views. (A) Dorsal view of the hands. (B) Ventral view of the hands.
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10. 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  , 14-21DOI: ( /j.bjps )

11. 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  , 14-21DOI: ( /j.bjps )