{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:37:11Z","timestamp":1740148631405,"version":"3.37.3"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2022,5,31]],"date-time":"2022-05-31T00:00:00Z","timestamp":1653955200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>A transfer\u00eancia microcir\u00fargica do dedo do p\u00e9 para a reconstru\u00e7\u00e3o do polegar \u00e9 um procedimento desafiador, considerando-se a habilidade t\u00e9cnica necess\u00e1ria para realiz\u00e1-la e a dif\u00edcil avalia\u00e7\u00e3o p\u00f3s-operat\u00f3ria dos aspectos est\u00e9ticos e funcionais. Este \u00e9 um relato do caso de uma crian\u00e7a de 3 anos que sofreu uma amputa\u00e7\u00e3o traum\u00e1tica do polegar. A reconstru\u00e7\u00e3o do polegar foi realizada por meio de transfer\u00eancia microcir\u00fargica do dedo do p\u00e9, meses ap\u00f3s a falha do reimplante. Uma avalia\u00e7\u00e3o subjetiva e outra objetiva dos resultados foram realizadas cinco anos ap\u00f3s o procedimento. O resultado funcional foi avaliado por meio do Question\u00e1rio de Avalia\u00e7\u00e3o da Sa\u00fade na Inf\u00e2ncia (Childhood Health Assessment Questionnaire, CHAQ, em ingl\u00eas) e o Teste Funcional da M\u00e3o de Jebsen-Taylor (Jebsen-Taylor Hand Function Test, JTHFT, em ingl\u00eas). Foram usados o dinam\u00f4metro Jamar (Sammons Preston, Bolingbrook, IL, EUA) e os instrumentos de medi\u00e7\u00e3o Jamar Pinch Gauge (Sammons Preston) para avaliar as for\u00e7as de preens\u00e3o palmar e de pin\u00e7as, respectivamente. Foram realizados os testes de monofilamento e de discrimina\u00e7\u00e3o de dois pontos de Semmes-Weinstein. O paciente apresentou excelente resultado funcional, recupera\u00e7\u00e3o parcial da for\u00e7a, recupera\u00e7\u00e3o sensitiva completa, e m\u00ednima morbidade do s\u00edtio doador. Foi realizada tamb\u00e9m uma avalia\u00e7\u00e3o radiogr\u00e1fica, que demonstrou a preserva\u00e7\u00e3o da placa epifis\u00e1ria e do potencial de crescimento no dedo do p\u00e9 transplantado. Em todos os aspectos, os dados observados refor\u00e7am os benef\u00edcios e as indica\u00e7\u00f5es da transfer\u00eancia do dedo do p\u00e9 para a reconstru\u00e7\u00e3o do polegar em crian\u00e7as.<\/jats:p>","DOI":"10.1055\/s-0042-1744518","type":"journal-article","created":{"date-parts":[[2022,5,31]],"date-time":"2022-05-31T22:47:52Z","timestamp":1654037272000},"page":"e632-e636","source":"Crossref","is-referenced-by-count":0,"title":["Transfer\u00eancia do segundo dedo do p\u00e9 para tratamento de amputa\u00e7\u00e3o traum\u00e1tica do polegar em uma crian\u00e7a de quatro anos: Relato de caso"],"prefix":"10.1055","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7301-4329","authenticated-orcid":false,"given":"Hugo Alberto","family":"Nakamoto","sequence":"additional","affiliation":[{"name":"Grupo de Cirurgia da M\u00e3o e Microcirurgia, Instituto de Ortopedia e Traumatologia, Hospital das Cl\u00ednicas (HC), Faculdade de Medicina (FM), Universidade de S\u00e3o Paulo (USP), S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1596-5353","authenticated-orcid":false,"given":"Reinaldo Borges","family":"Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"Grupo de Cirurgia da M\u00e3o e Microcirurgia, Instituto de Ortopedia e Traumatologia, Hospital das Cl\u00ednicas (HC), Faculdade de Medicina (FM), Universidade de S\u00e3o Paulo (USP), S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4780-827X","authenticated-orcid":false,"given":"Jo\u00e3o Carlos","family":"Nakamoto","sequence":"additional","affiliation":[{"name":"Grupo de Cirurgia da M\u00e3o e Microcirurgia, Instituto de Ortopedia e Traumatologia, Hospital das Cl\u00ednicas (HC), Faculdade de Medicina (FM), Universidade de S\u00e3o Paulo (USP), S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9616-4381","authenticated-orcid":false,"given":"Fernanda do Carmo","family":"Iwase","sequence":"additional","affiliation":[{"name":"Grupo de Cirurgia da M\u00e3o e Microcirurgia, Instituto de Ortopedia e Traumatologia, Hospital das Cl\u00ednicas (HC), Faculdade de Medicina (FM), Universidade de S\u00e3o Paulo (USP), S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5301-0964","authenticated-orcid":false,"given":"Mariana Miranda Nicolosi","family":"Pessa","sequence":"additional","affiliation":[{"name":"Grupo de Cirurgia da M\u00e3o e Microcirurgia, Instituto de Ortopedia e Traumatologia, Hospital das Cl\u00ednicas (HC), Faculdade de Medicina (FM), Universidade de S\u00e3o Paulo (USP), S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3441-8117","authenticated-orcid":false,"given":"Marcelo Rosa de","family":"Rezende","sequence":"additional","affiliation":[{"name":"Grupo de Cirurgia da M\u00e3o e Microcirurgia, Instituto de Ortopedia e Traumatologia, Hospital das Cl\u00ednicas (HC), Faculdade de Medicina (FM), Universidade de S\u00e3o Paulo (USP), S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,5,31]]},"reference":[{"issue":"11","key":"ref1","doi-asserted-by":"crossref","first-page":"1835","DOI":"10.1016\/j.jhsa.2011.08.002","article-title":"Epidemiology of upper extremity replantation surgery in the United States","volume":"36","author":"J B Friedrich","year":"2011","journal-title":"J Hand Surg 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