{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T14:06:42Z","timestamp":1711634802229},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,11,11]],"date-time":"2022-11-11T00:00:00Z","timestamp":1668124800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Although aesthetic reconstruction of an amputated distal finger can be achieved through partial toe transfer, this approach often damages the weight\u2010bearing region of the toe from which the flap is harvested. The purpose of this report is to introduce the minimum invasive surgery technique to reconstruct the distal finger aesthetically without damaging the weight\u2010bearing region of the toe.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>Thirty\u2010one amputated fingertips in 30 patients aged 18 to 68\u2009years were treated using this operative technique. Operations were performed between January 2010 and December 2020. All patients were missing the distal finger beyond the PIP joint, and the amputation stump had been covered with healthy skin. A distally based finger flap was elevated at the recipient site, and a slender partial toe flap, including the nail, was harvested from the great toe. These flaps were combined to form the distal finger. In all cases, the weight\u2010bearing region of the toe remained intact. The donor site wound was first closed with artificial dermis, and skin grafting was performed 3\u2009weeks after the surgery. A few patients did not require skin grafting because their wounds epithelized spontaneously.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In most patients, the transplanted flap remained healthy and the distal finger was aesthetically restored. Two patients aged over 60\u2009years who were smokers developed necrosis of the transplanted partial toe flap. In all patients, the weight\u2010bearing region of the great toe was intact, and they had no trouble walking during the three\u2010year follow\u2010up period after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our technique, which combines elevation of a distally\u2010based finger flap and transplantation of a partial toe flap, was able to minimize the skin defect area in the great toe. This new distal finger reconstruction technique is minimally invasive and can be used to prevent secondary donor site issues.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.30982","type":"journal-article","created":{"date-parts":[[2022,11,11]],"date-time":"2022-11-11T11:54:46Z","timestamp":1668167686000},"page":"222-228","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Distal finger reconstruction technique combining a distally\u2010based finger flap and a partial toe flap"],"prefix":"10.1002","volume":"43","author":[{"given":"Yuichi","family":"Hirase","sequence":"first","affiliation":[{"name":"Department of Hand Surgery and Microsurgery Yotsuya Medical Cube  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuri","family":"Kanno","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery and Microsurgery Yotsuya Medical Cube  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arisa","family":"Okubo","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery and Microsurgery Yotsuya Medical Cube  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hisasuke","family":"Onozawa","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery and Microsurgery Yotsuya Medical Cube  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikio","family":"Yagishita","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery and Microsurgery Yotsuya Medical Cube  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuo","family":"Yamada","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery and Microsurgery Yotsuya Medical Cube  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,11,11]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1054\/JHSB.1999.0161"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.bth.0000151862.54660.96"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000005983"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198005000-00013"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.1920070414"},{"key":"e_1_2_10_7_1","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1007\/978-4-431-56045-6","volume-title":"Practical techniques in flap surgery","author":"Hirase Y.","year":"2017"},{"key":"e_1_2_10_8_1","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1007\/978-4-431-56045-6","volume-title":"Practical techniques in flap surgery","author":"Hirase Y.","year":"2017"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199703000-00026"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1000194"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1006756"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2005-871747"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1006883"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.1920161007"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12262-015-1415-4"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2021.05.054"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0712(21)00936-7"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(80)80110-9"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.20777"},{"key":"e_1_2_10_20_1","first-page":"987","article-title":"Repair of the donor defect after wrap\u2010around flap transfer with free thinned innervated anterolateral thigh perforator flap","volume":"31","author":"Song D.","year":"2017","journal-title":"Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(97)80090-1"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000002520"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0712(02)00127-0"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.30982","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/micr.30982","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.30982","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T18:45:38Z","timestamp":1692297938000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.30982"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,11]]},"references-count":22,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1002\/micr.30982"],"URL":"https:\/\/doi.org\/10.1002\/micr.30982","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,11]]},"assertion":[{"value":"2021-09-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-10-28","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-11-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}