{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:33:02Z","timestamp":1740166382530,"version":"3.37.3"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T00:00:00Z","timestamp":1697068800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Tamai zone 4 replantation, defined as the replantation at a level proximal to the flexor digitorum superficialis' insertion and distal to where the common digital artery branches into the proper digital artery, has poor functional results because making orthosis and rehabilitation protocols that protect the bone and the flexor and extensor tendons simultaneously difficult. Two cases of Tamai zone 4 replantation are presented: one case of an index finger replantation at the proximal phalanx and a case of ring finger replantation at the proximal interphalangeal joint. The author did not repair the flexor tendon intentionally in the primary replantation and performed two-stage flexor tendon reconstruction later. The total active motions (TAMs) at the last follow-up were 215 and 180\u2009degrees, respectively, with the latter distal interphalangeal joint being an arthrodesis. Both cases had no extension lag in the proximal interphalangeal joint. These results were much better than those in previous reports, in which the mean TAM was 133\u2009degrees or less. The good results appeared to be mainly due to the reasonable and clear postoperative rehabilitation protocols made by the proposed procedure. This procedure may be useful for obtaining reproducible functional results even in Tamai zone 4 replantation.<\/jats:p>","DOI":"10.1055\/a-2190-8487","type":"journal-article","created":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T23:40:57Z","timestamp":1697154057000},"page":"118-125","source":"Crossref","is-referenced-by-count":0,"title":["Staged Tendon Repair to Improve Range of Motion in Tamai Zone 4 Replantation: Two Case Reports"],"prefix":"10.1055","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8957-8543","authenticated-orcid":false,"given":"Takeo","family":"Matsusue","sequence":"additional","affiliation":[{"name":"Department of Plastic Reconstructive Surgery, Kansai Electric Power Hospital, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,2,28]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1016\/j.injury.2013.01.022","article-title":"Rehabilitation of flexor and extensor tendon injuries in the hand: current updates","volume":"44","author":"J W Howell","year":"2013","journal-title":"Injury"},{"issue":"133","key":"ref2","first-page":"106","article-title":"Microvascular anastomosis and its application on the replantation of amputated digits and hands","author":"S Tamai","year":"1978","journal-title":"Clin Orthop Relat Res"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1097\/01.SAP.0000058499.74279.D8","article-title":"Tendon function after replantation: prognostic factors and strategies to enhance total active motion","volume":"51","author":"D C Ross","year":"2003","journal-title":"Ann Plast Surg"},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"878e","DOI":"10.1097\/PRS.0000000000006134","article-title":"Practical tips to improve efficiency and success in upper limb replantation","volume":"144","author":"S H Woo","year":"2019","journal-title":"Plast Reconstr Surg"},{"key":"ref5","first-page":"1653","volume-title":"Replantation and transplantation","author":"J P Higgins","year":"2022","edition":"8th ed."},{"key":"ref6","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1016\/S0894-1130(89)80046-8","article-title":"Early protective motion in digital revascularization and replantation","volume":"2","author":"P M Silverman","year":"1989","journal-title":"J Hand Ther"},{"key":"ref7","first-page":"212","volume-title":"Flexor tendon injury","author":"J G Seiler III","year":"2022","edition":"8th ed."},{"key":"ref8","first-page":"182","volume-title":"Extensor tendon injury","author":"R J Strauch","year":"2022","edition":"8th ed."},{"issue":"10","key":"ref9","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1097\/00002060-200110000-00003","article-title":"Rehabilitation of flexor tendon injuries by use of a combined regimen of modified Kleinert and modified Duran techniques","volume":"80","author":"A Cetin","year":"2001","journal-title":"Am J Phys Med Rehabil"},{"issue":"01","key":"ref10","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/S0363-5023(87)80189-2","article-title":"The repeatability of testing with Semmes\u2013Weinstein monofilaments","volume":"12","author":"J Bell-Krotoski","year":"1987","journal-title":"J Hand Surg Am"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/S0894-1130(12)80222-5","article-title":"The unresolved problem - 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