{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T03:59:17Z","timestamp":1754107157743,"version":"3.40.5"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>A technique for reconstructing a thumb following amputation through the metacarpal phalangeal joint is described. This technique was first described by Gillies and involves bony augmentation with iliac crest bone graft to lengthen the first ray and a random pattern flap to cover and provide durable sensate soft tissue coverage. As opposed to more commonly performed procedures, this technique does not involve microsurgery or any specialized equipment. There are several limitations to this technique, but it remains a good option where resources do not allow more modern reconstructive procedures. We present our use of the technique, which was performed at a forward operating base for a coalition service member.<\/jats:p>","DOI":"10.1097\/bth.0000000000000336","type":"journal-article","created":{"date-parts":[[2021,1,14]],"date-time":"2021-01-14T17:23:31Z","timestamp":1610645011000},"page":"208-212","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Revisiting Gillies\u2019 \u201cCocked Hat\u201d Reconstruction for Thumb Reconstruction"],"prefix":"10.1097","volume":"25","author":[{"given":"Nicholas","family":"Pulos","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E. Ladd","family":"Jones","sequence":"additional","affiliation":[{"name":"Atlanta, GA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2021,12]]},"reference":[{"key":"R1-20250512","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/S0007-1226(50)80006-1","article-title":"A preliminary report on the use of a local flap and peg bone graft for lengthening a short thumb","volume":"3","author":"Hughes","year":"1950","journal-title":"Br J Plast Surg"},{"key":"R2-20250512","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.1016\/S0140-6736(00)72783-8","article-title":"Autograft of amputated digit: a suggested operation","volume":"235","author":"Gillies","year":"1940","journal-title":"Lancet"},{"key":"R3-20250512","doi-asserted-by":"crossref","first-page":"573","DOI":"10.2106\/00004623-195335030-00005","article-title":"Partial reconstruction of thumb in a one-stage operation","volume":"35-a","author":"Lewin","year":"1953","journal-title":"J Bone Joint Surg Am"},{"key":"R4-20250512","first-page":"456","article-title":"Reconstruction of the thumb","volume":"38","author":"Merle D\u2019Aubigne","year":"1952","journal-title":"Rev Chir Orthop Reparatrice Appar Mot"},{"key":"R6-20250512","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1053\/jhsu.2000.6913","article-title":"An outcome study of thumb reconstruction using microvascular toe transfer","volume":"25","author":"Chung","year":"2000","journal-title":"J Hand Surg"},{"key":"R7-20250512","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1097\/00130911-200312000-00006","article-title":"Thumb metacarpal lengthening","volume":"7","author":"Matev","year":"2003","journal-title":"Tech Hand Up Extrem Surg"},{"key":"R9-20250512","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/S0072-968X(80)80002-7","article-title":"The Gillies\u2019 thumb lengthening operation","volume":"12","author":"Reid","year":"1980","journal-title":"Hand"},{"key":"R10-20250512","first-page":"499","article-title":"Older (\u201ctraditional\u201d) methods for thumb reconstruction with special regard to bad results","volume":"10","author":"Meyer","year":"1991","journal-title":"Ann Chir Main Memb Super"}],"container-title":["Techniques in Hand &amp; Upper Extremity Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/BTH.0000000000000336","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T16:09:04Z","timestamp":1747066144000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/BTH.0000000000000336"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,13]]},"references-count":8,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1097\/bth.0000000000000336","relation":{},"ISSN":["1531-6572"],"issn-type":[{"type":"electronic","value":"1531-6572"}],"subject":[],"published":{"date-parts":[[2021,1,13]]}}}