{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T14:41:36Z","timestamp":1767796896333,"version":"3.49.0"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T00:00:00Z","timestamp":1754438400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Plast Surg"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Utilization of tissues from the amputated part to cover critical structures or enhance function in another area is a valuable technique in reconstructive surgery. For this \u201cspare part surgery\u201d to occur high level of awareness is to be present among surgeons who perform the primary procedure. We are presenting a case wherein the great toe was harvested for thumb reconstruction in a patient who had a nonsalvageable lower limb injury with a crush injury of the hand with amputation of multiple fingers including the thumb. The patient on follow-up is using his reconstructed thumb for all his activities including for wearing the lower limb prosthesis. Harvesting the toe from the to be amputated part has the advantages of harvesting more skin, longer length of tendons, vessels, and nerves since there is no need for donor site closure or any concern for donor site morbidity.<\/jats:p>","DOI":"10.1055\/s-0045-1810110","type":"journal-article","created":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T23:10:02Z","timestamp":1754521802000},"page":"468-471","source":"Crossref","is-referenced-by-count":0,"title":["Reconstruction of an Amputated Thumb by Great Toe Harvested from a Simultaneously Amputated Lower Limb: Spare Part Surgery Concept Revisited"],"prefix":"10.1055","volume":"58","author":[{"given":"S Raja","family":"Sabapathy","sequence":"additional","affiliation":[{"name":"Department of Plastic, Hand and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hari","family":"Venkatramani","sequence":"additional","affiliation":[{"name":"Department of Plastic, Hand and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madhu","family":"Periasamy","sequence":"additional","affiliation":[{"name":"Department of Plastic, Hand and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aditya","family":"Narasimhan","sequence":"additional","affiliation":[{"name":"Department of Plastic, Hand and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monusha","family":"Mohan","sequence":"additional","affiliation":[{"name":"Department of Plastic, Hand and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8355-1005","authenticated-orcid":false,"given":"Vamseedharan","family":"Muthukumar","sequence":"additional","affiliation":[{"name":"Department of Plastic, Hand and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,8,6]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1080\/08998280.2002.11927870","article-title":"Our thumbs","volume":"15","author":"A E Flatt","year":"2002","journal-title":"Proc Bayl Univ Med Cent"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1016\/j.jhsg.2024.10.003","article-title":"Toe transfers in mutilated hands: technical considerations to get good outcomes","volume":"7","author":"S R Sabapathy","year":"2024","journal-title":"J Hand Surg Glob Online"},{"issue":"07","key":"ref3","doi-asserted-by":"crossref","first-page":"1431","DOI":"10.1016\/j.jhsa.2013.03.020","article-title":"Toe-to-hand transfer: evolving indications and relevant outcomes","volume":"38","author":"J F Waljee","year":"2013","journal-title":"J Hand Surg Am"},{"issue":"S 05","key":"ref4","doi-asserted-by":"crossref","first-page":"S88","DOI":"10.1016\/j.injury.2019.10.056","article-title":"Emergency toe-to-hand transfer for post-traumatic finger reconstruction: a multicenter case series","volume":"50","author":"A V Georgescu","year":"2019","journal-title":"Injury"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1097\/01.PRS.0000127803.00139.96","article-title":"A comparison between primary and secondary toe-to-hand transplantation","volume":"114","author":"K K Yim","year":"2004","journal-title":"Plast Reconstr Surg"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"882","DOI":"10.1097\/01.PRS.0000105340.26227.B5","article-title":"Immediate toe-to-hand transfer in acute hand injuries: overall results, compared with results for elective cases","volume":"113","author":"S H Woo","year":"2004","journal-title":"Plast Reconstr Surg"},{"issue":"06","key":"ref7","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1055\/a-0874-2253","article-title":"Immediate vs. delayed toe-to-thumb transfer: is the infection rate greater?","volume":"51","author":"M Ornelli","year":"2019","journal-title":"Handchir Mikrochir Plast Chir"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"100004","DOI":"10.1055\/s-0042-1749443","article-title":"Emergency foot fillet free flap based on posterior tibial vessels for reconstruction of contralateral heel and sole: a unique spare part surgery","volume":"16","author":"H Venkatramani","year":"2024","journal-title":"J Hand Microsurg"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"e2614","DOI":"10.1097\/GOX.0000000000002614","article-title":"Reconstruction of a monodactylous hand with microsurgical free foot-to-hand transfer in split-hand\/split-foot malformation with tibial aplasia","volume":"8","author":"S R Sabapathy","year":"2020","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"ref10","first-page":"48","volume-title":"The Principles and Art of Plastic Surgery","author":"H Gillies","year":"1957","edition":"1st ed."}],"container-title":["Indian Journal of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0045-1810110.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T11:48:45Z","timestamp":1767786525000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0045-1810110"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,6]]},"references-count":10,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2025,12,31]]},"published-print":{"date-parts":[[2025,12]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0045-1810110","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0970-0358","1998-376X"],"issn-type":[{"value":"0970-0358","type":"print"},{"value":"1998-376X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,6]]}}}