@article{a9d7b0cbb7164e028bc13825fc652210,
title = "Gramcko's Triangular Flap for Separation of Syndactyly with Terminal Bone Bridge",
abstract = "The treatment of complex and complicated syndactyly with regards to the coverage of exposed phalanges is still a disputable problem up to the present. Thus, a lot of procedures are suggested such as to use abdominal flap and using thenar flap to cover wound after separation of phalanges. The abovementioned procedures can separate the osseous fusion of the distal phalanges but the operations are tedious and complicated and need to be done in two stages.We reported three cases of complex syndactyly with 5 hands involved, total seven web spaces were separated in this article. We use the Gramcko's procedure by designing a triangular skin flap to cover the wound after separation of the osseous fusion and all cases were done in one stage operation with acceptable functional and cosmetic results.",
keywords = "complex syndactyly, acrosyndactyly, Gramcko's triangular flap, distal phalangeal fusion",
author = "Kwork-Wai Lau and Jia-Yi Wang and Chieh-Feng Chen",
year = "2002",
language = "English",
volume = "11",
pages = "298--303",
journal = "中華民國整形外科醫學會雜誌",
issn = "1025-1375",
publisher = "中華民國整形外科醫學會",
number = "4",
}