{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T21:11:29Z","timestamp":1792098689292,"version":"4.4.0"},"reference-count":13,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[1991,7,1]],"date-time":"1991-07-01T00:00:00Z","timestamp":678326400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1991,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Microvascular surgery has revolutionized the field of emergency hand surgery in the areas of replantation and microvascular transplantation. Amputated parts from as small as a distal phalanx to the entire extremity can now be successfully replanted and unreplanted, or missing parts can be restored and reconstructed with immediate microvascular transplants (MVTs). MVTs can be used to cover exposed vital structures and replace missing complex parts. Part or whole digits can be reconstructed, with up to 4 toe transplants. Joints, bones, and muscles can be replaced with osteocutaneous and neuromyovascular transplants. Using the same approach for multiple replants, teams of 4 to 6 surgeons operating simultaneously and sequentially around the clock can accomplish multiple microvascular transplants in the acute setting. The classical principle of hand surgery, \u201cpreserve length and function\u201d, can now be modified to \u201crestore length and function.\u201d<\/jats:bold><\/jats:p>","DOI":"10.1007\/bf01675636","type":"journal-article","created":{"date-parts":[[2005,5,11]],"date-time":"2005-05-11T11:08:26Z","timestamp":1115809706000},"page":"418-428","source":"Crossref","is-referenced-by-count":11,"title":["The contributions of microvascular surgery to emergency hand surgery"],"prefix":"10.1002","volume":"15","author":[{"given":"Harry J.","family":"Buncke","sequence":"first","affiliation":[{"name":"Microsurgical Replantation Transplantation Department Davies Medical Center Suite A, 101\u00a0N. El Camino Real 94402 San Francisco California USA"},{"name":"Replantation Service Catherine McAuley Health Center Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory M.","family":"Buncke","sequence":"additional","affiliation":[{"name":"Microsurgical Replantation Transplantation Department Davies Medical Center Suite A, 101\u00a0N. El Camino Real 94402 San Francisco California USA"},{"name":"Replantation Service Catherine McAuley Health Center Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William C.","family":"Lineaweaver","sequence":"additional","affiliation":[{"name":"Microsurgical Replantation Transplantation Department Davies Medical Center Suite A, 101\u00a0N. El Camino Real 94402 San Francisco California USA"},{"name":"Replantation Service Catherine McAuley Health Center Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfonso","family":"Oliva","sequence":"additional","affiliation":[{"name":"Microsurgical Replantation Transplantation Department Davies Medical Center Suite A, 101\u00a0N. El Camino Real 94402 San Francisco California USA"},{"name":"Replantation Service Catherine McAuley Health Center Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernard S.","family":"Alpert","sequence":"additional","affiliation":[{"name":"Microsurgical Replantation Transplantation Department Davies Medical Center Suite A, 101\u00a0N. El Camino Real 94402 San Francisco California USA"},{"name":"Replantation Service Catherine McAuley Health Center Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David N.","family":"Hing","sequence":"additional","affiliation":[{"name":"Microsurgical Replantation Transplantation Department Davies Medical Center Suite A, 101\u00a0N. El Camino Real 94402 San Francisco California USA"},{"name":"Replantation Service Catherine McAuley Health Center Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter P.","family":"Siko","sequence":"additional","affiliation":[{"name":"Microsurgical Replantation Transplantation Department Davies Medical Center Suite A, 101\u00a0N. El Camino Real 94402 San Francisco California USA"},{"name":"Replantation Service Catherine McAuley Health Center Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[1991,7]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002727-199006000-00009"},{"key":"e_1_2_1_3_1","unstructured":"Buncke H.J.:Free toe to hand transplantations by microvascular anastomoses. Trans. 6th Int. Congr. Plast. Surg. Paris Masson 1975 pp.69\u201378."},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(78)80074-4"},{"key":"e_1_2_1_5_1","first-page":"793","volume-title":"Plastic Surgery\u2010A Concise Guide to Clinical Practice","author":"Buncke H.J.","year":"1973"},{"key":"e_1_2_1_6_1","volume-title":"Microsurgery Replantation Transplantation: An Atlas Text","author":"Acland G.A.","year":"1990"},{"key":"e_1_2_1_7_1","doi-asserted-by":"crossref","unstructured":"Whitney T.M. 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