{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T23:04:21Z","timestamp":1790809461897,"version":"4.1.0"},"reference-count":38,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","theclinics.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Hand Clinics"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1016\/j.hcl.2026.06.006","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:18:47Z","timestamp":1786652327000},"page":"441-451","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["From Devastation to Function"],"prefix":"10.1016","volume":"42","author":[{"given":"Luigi","family":"Troisi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Zanchetta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giorgio Eugenio","family":"Pajardi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.hcl.2026.06.006_bib1","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.hcl.2017.09.001","article-title":"Antibiotic management and operative debridement in open fractures of the hand and upper extremity: a systematic review","volume":"34","author":"Warrender","year":"2018","journal-title":"Hand Clin"},{"issue":"1","key":"10.1016\/j.hcl.2026.06.006_bib2","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/j.ijsu.2007.09.001","article-title":"A prospective evaluation of the modified hand injury severity score in predicting return to work","volume":"6","author":"Urso-Baiarda","year":"2008","journal-title":"Int J Surg"},{"issue":"6","key":"10.1016\/j.hcl.2026.06.006_bib3","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1016\/S0363-5023(82)80100-7","article-title":"Twenty years\u2019 experience of limb replantation--review of 293 upper extremity replants","volume":"7","author":"Tamai","year":"1982","journal-title":"J Hand Surg Am"},{"issue":"6","key":"10.1016\/j.hcl.2026.06.006_bib4","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1002\/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L","article-title":"Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected]. The upper extremity collaborative group (UECG)","volume":"29","author":"Hudak","year":"1996","journal-title":"Am J Ind Med"},{"issue":"11","key":"10.1016\/j.hcl.2026.06.006_bib5","doi-asserted-by":"crossref","first-page":"968","DOI":"10.1177\/107110070502601113","article-title":"Evidence of validity for the foot and ankle ability measure (FAAM)","volume":"26","author":"Martin","year":"2005","journal-title":"Foot Ankle Int"},{"issue":"4","key":"10.1016\/j.hcl.2026.06.006_bib6","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1302\/0301-620X.51B4.677","article-title":"Free digital transfer. Report of a case of transfer of a great toe to replace an amputated thumb","volume":"51","author":"Cobbett","year":"1969","journal-title":"J Bone Joint Surg Br"},{"issue":"3","key":"10.1016\/j.hcl.2026.06.006_bib7","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1097\/00006534-198809000-00025","article-title":"Reconstruction of the thumb with a trimmed-toe transfer technique","volume":"82","author":"Wei","year":"1988","journal-title":"Plast Reconstr Surg"},{"issue":"6","key":"10.1016\/j.hcl.2026.06.006_bib8","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1016\/S0363-5023(80)80110-9","article-title":"Thumb reconstruction with a free neurovascularwrap-around flap from the big toe","volume":"5","author":"Morrison","year":"1980","journal-title":"J Hand Surg Am"},{"issue":"2","key":"10.1016\/j.hcl.2026.06.006_bib9","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1002\/micr.1920010211","article-title":"Experiences in microsurgery in the people\u2019s Republic of China","volume":"1","author":"Chang","year":"1979","journal-title":"J Microsurg"},{"issue":"4","key":"10.1016\/j.hcl.2026.06.006_bib10","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1016\/j.cps.2011.08.002","article-title":"Thumb reconstruction","volume":"38","author":"Friedrich","year":"2011","journal-title":"Clin Plast Surg"},{"key":"10.1016\/j.hcl.2026.06.006_bib11","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1016\/j.injury.2013.01.012","article-title":"Reconstruction of the thumb amputation at the carpometacarpal joint level by groin flap and second toe transfer","volume":"44","author":"Sabapathy","year":"2013","journal-title":"Injury"},{"issue":"3","key":"10.1016\/j.hcl.2026.06.006_bib12","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1097\/PRS.0000000000005983","article-title":"Extreme thumb losses: reconstructive strategies","volume":"144","author":"Del Pi\u00f1al","year":"2019","journal-title":"Plast Reconstr Surg"},{"issue":"1","key":"10.1016\/j.hcl.2026.06.006_bib13","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/S0749-0712(21)00691-0","article-title":"Reconstruction of traumatic absence of the thumb in the adult by pollicization","volume":"8","author":"Brunelli","year":"1992","journal-title":"Hand Clin"},{"issue":"9","key":"10.1016\/j.hcl.2026.06.006_bib14","doi-asserted-by":"crossref","DOI":"10.1097\/GOX.0000000000003767","article-title":"Blast injury to the hand: assessing the injury pattern and functional outcome of the thumb","volume":"9","author":"Rivedal","year":"2021","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"10.1016\/j.hcl.2026.06.006_bib15","doi-asserted-by":"crossref","first-page":"385.e1","DOI":"10.1016\/j.jhsa.2017.01.028","article-title":"Severe hand injuries from fireworks: injury patterns, outcomes, and fireworks types","volume":"42","author":"Sandvall","year":"2017","journal-title":"J Hand Surg Am"},{"issue":"3","key":"10.1016\/j.hcl.2026.06.006_bib16","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1097\/BTH.0000000000000123","article-title":"Prevention of thumb web space contracture with multiplanar ExternalFixation","volume":"20","author":"Harper","year":"2016","journal-title":"Tech Hand Up Extrem Surg"},{"issue":"10","key":"10.1016\/j.hcl.2026.06.006_bib17","doi-asserted-by":"crossref","first-page":"3428","DOI":"10.3390\/jcm14103428","article-title":"First web space reconstruction in acquired defects: a literature-based review and surgical experience","volume":"14","author":"Tiengo","year":"2025","journal-title":"J Clin Med"},{"issue":"6","key":"10.1016\/j.hcl.2026.06.006_bib18","doi-asserted-by":"crossref","first-page":"1015","DOI":"10.2106\/00004623-196042060-00009","article-title":"Opposition of the thumb and its restoration","volume":"42","author":"Jacobs","year":"1960","journal-title":"J Bone Joint Surg"},{"key":"10.1016\/j.hcl.2026.06.006_bib19","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1097\/00006534-199501000-00017","article-title":"Free vascularized medial plantar flap with functioning abductor hallucistransfer for reconstruction of thenar defects","volume":"95","author":"Ibaraki","year":"1995","journal-title":"Plast Reconstr Surg"},{"issue":"5","key":"10.1016\/j.hcl.2026.06.006_bib35","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1016\/0007-1226(94)90090-6","article-title":"Selective replantation with ulnar translocation in multidigital amputations","volume":"47","author":"Elliot","year":"1994","journal-title":"Br J Plast Surg"},{"issue":"7","key":"10.1016\/j.hcl.2026.06.006_bib36","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1002\/micr.1920150707","article-title":"Transpositional microsurgery in multiple digital amputations","volume":"15","author":"Soucacos","year":"1994","journal-title":"Microsurgery"},{"issue":"6","key":"10.1016\/j.hcl.2026.06.006_bib37","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1054\/jhsb.2001.0595","article-title":"Indications and selection for digital amputation and replantation","volume":"26","author":"Soucacos","year":"2001","journal-title":"J Hand Surg Br"},{"issue":"4","key":"10.1016\/j.hcl.2026.06.006_bib38","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1007\/BF01675638","article-title":"Surgical opportunism in emergency hand surgery","volume":"15","author":"Morrison","year":"1991","journal-title":"World J Surg"},{"issue":"4","key":"10.1016\/j.hcl.2026.06.006_bib21","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1142\/S2424835525500511","article-title":"Objective assessment of function in a two-digit hand - a comparison of the functional outcome between the little finger and the index finger as the ulnar post","volume":"30","author":"Madhusudhan","year":"2025","journal-title":"J Hand Surg Asian Pac"},{"issue":"1","key":"10.1016\/j.hcl.2026.06.006_bib20","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1097\/00006534-199701000-00019","article-title":"Metacarpal hand: classification and guidelines for microsurgical reconstruction with toe transfers","volume":"99","author":"Wei","year":"1997","journal-title":"Plast Reconstr Surg"},{"issue":"7","key":"10.1016\/j.hcl.2026.06.006_bib23","doi-asserted-by":"crossref","first-page":"816","DOI":"10.1016\/j.bjps.2007.02.019","article-title":"Severe mutilating injuries to the hand: guidelines for organizing the chaos","volume":"60","author":"del Pi\u00f1al","year":"2007","journal-title":"J Plast Reconstr Aesthetic Surg"},{"issue":"4","key":"10.1016\/j.hcl.2026.06.006_bib24","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1016\/j.cps.2020.06.003","article-title":"An update on the management of severe crush injury to the forearm and hand","volume":"47","author":"Del Pi\u00f1al","year":"2020","journal-title":"Clin Plast Surg"},{"issue":"Suppl 5","key":"10.1016\/j.hcl.2026.06.006_bib25","doi-asserted-by":"crossref","first-page":"S3","DOI":"10.1016\/j.injury.2007.10.038","article-title":"Early management of the mangled upper extremity","volume":"38","author":"Bernstein","year":"2007","journal-title":"Injury"},{"issue":"1","key":"10.1016\/j.hcl.2026.06.006_bib26","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1177\/17531934211047760","article-title":"Management of a mutilated hand: the current trends","volume":"47","author":"Sabapathy","year":"2021","journal-title":"J Hand Surg"},{"issue":"1","key":"10.1016\/j.hcl.2026.06.006_bib27","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/S0749-0712(02)00141-5","article-title":"Mutilating hand injuries: principles and management","volume":"19","author":"Neumeister","year":"2003","journal-title":"Hand Clin"},{"issue":"2","key":"10.1016\/j.hcl.2026.06.006_bib28","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1097\/PRS.0000000000012053","article-title":"Toe transfers outperform replantation after digit amputations: outcomes of 126 toe transfers","volume":"156","author":"Lo","year":"2025","journal-title":"Plast Reconstr Surg"},{"issue":"5","key":"10.1016\/j.hcl.2026.06.006_bib29","doi-asserted-by":"crossref","first-page":"957","DOI":"10.2106\/00004623-197052050-00010","article-title":"Thumb reconstruction after amputation at the metacarpophalangeal joint by bone-lengthening: a PRELIMINARY report of three cases","volume":"52","author":"Matev","year":"1970","journal-title":"J Bone Joint Surg"},{"issue":"9","key":"10.1016\/j.hcl.2026.06.006_bib30","doi-asserted-by":"crossref","DOI":"10.1097\/GOX.0000000000004538","article-title":"Tailored skin flaps for hand reconstruction","volume":"10","author":"Vizcay","year":"2022","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"10.1016\/j.hcl.2026.06.006_bib31","doi-asserted-by":"crossref","first-page":"1489","DOI":"10.1097\/00006534-199606000-00030","article-title":"The instep free flap to resurface palmar defects of the hand","volume":"97","author":"Ninkovic","year":"1996","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.hcl.2026.06.006_bib32","article-title":"Medial plantar artery perforator (MPAP) is an ideal option for reconstruction of complex soft tissue defect in the finger: clinical experience from 11 cases","volume":"9","author":"Xu","year":"2022","journal-title":"Front Surg"},{"issue":"3","key":"10.1016\/j.hcl.2026.06.006_bib33","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1097\/SAP.0000000000001568","article-title":"Medial plantar flap for hand reconstruction: a systematic literature review and its application for post-sarcoma excision","volume":"82","author":"Troisi","year":"2019","journal-title":"Ann Plast Surg"},{"issue":"4","key":"10.1016\/j.hcl.2026.06.006_bib22","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1016\/j.hcl.2016.07.006","article-title":"Secondary interventions for mutilating hand injuries","volume":"32","author":"Foo","year":"2016","journal-title":"Hand Clin"},{"issue":"2","key":"10.1016\/j.hcl.2026.06.006_bib34","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1016\/S0363-5023(83)80011-2","article-title":"Selective finger transposition and primary metacarpal ray resection in multidigit amputations of the hand","volume":"8","author":"Rose","year":"1983","journal-title":"J Hand Surg Am"}],"container-title":["Hand Clinics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749071226000454?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749071226000454?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T22:38:00Z","timestamp":1790807880000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0749071226000454"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":38,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["S0749071226000454"],"URL":"https:\/\/doi.org\/10.1016\/j.hcl.2026.06.006","relation":{},"ISSN":["0749-0712"],"issn-type":[{"value":"0749-0712","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"From Devastation to Function","name":"articletitle","label":"Article Title"},{"value":"Hand Clinics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.hcl.2026.06.006","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}