{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T04:05:50Z","timestamp":1747109150307,"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>Vascularized toe joint transfer can be an alternative treatment for children who have hypoplastic thumb with unstable carpometacarpal joint and refuse thumb ablation with index pollicization. This procedure can reconstruct a 5-digit hand with stable thumb for opposition. As the viable epiphyseal plate is included in this transfer, the potential for future growth can be expected from this type of reconstruction. This article describes details of the surgical procedures. The outcomes of this reconstruction are shown in a 7-year-old girl who presented with hypoplastic thumb type IV. Initially, her thumb was unstable, nonmobile, and had no function. The skin pedicle of this thumb had a diameter of about 3\u2009mm. Preoperative radiography showed floating thumb without first metacarpal bone. The vascularized metatarsophalangeal joint from the opposite second toe was used for her hypoplastic thumb reconstruction. During the procedure, the flail thumb was preserved. The intraoperative bone gap that was needed for reconstruction was 3.5\u2009cm. The artery was anastomosed with common digital artery from the third web space. Two dorsal veins were joined with the subcutaneous vein at the dorsum of the hand. Total operative time was 6 hours. At the 9-month follow-up, this girl achieved a 5-digit hand with stable thumb that had opposition to the tip of her little finger. She can use this hand to perform all activities of daily living without any pain. Both patient and parents were very satisfied with the functional and cosmetic appearance.<\/jats:p>","DOI":"10.1097\/bth.0000000000000339","type":"journal-article","created":{"date-parts":[[2021,2,8]],"date-time":"2021-02-08T17:12:53Z","timestamp":1612804373000},"page":"226-234","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Vascularized Toe Joint Transfer for Hypoplastic Thumb Type IV"],"prefix":"10.1097","volume":"25","author":[{"given":"Pobe","family":"Luangjarmekorn","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University, Bangkok"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nontich","family":"Pongernnak","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Kasemrad Chachoengsao Hospital, Chachoengsao, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pravit","family":"Kitidumrongsook","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University, Bangkok"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2021,12]]},"reference":[{"key":"R1-20250512","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1016\/S0749-0712(21)01384-6","article-title":"Classification of thumb hypoplasia","volume":"1","author":"Tajima","year":"1985","journal-title":"Hand Clin"},{"key":"R2-20250512","doi-asserted-by":"crossref","first-page":"1469","DOI":"10.2106\/00004623-199810000-00008","article-title":"Reconstruction of a congenital hypoplastic thumb with use of a free vascularized metatarsophalangeal joint","volume":"80","author":"Shibata","year":"1998","journal-title":"J Bone Joint Surg Am"},{"key":"R3-20250512","doi-asserted-by":"crossref","first-page":"2565","DOI":"10.1097\/CM9.0000000000000477","article-title":"Reversed vascularized second metatarsal flap for reconstruction of Manske type IIIB and IV thumb hypoplasia with reduced donor site morbidity","volume":"132","author":"Tong","year":"2019","journal-title":"Chin Med J (Engl)"},{"key":"R4-20250512","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1016\/j.hansur.2018.03.008","article-title":"Vascularized toe joint transfers to the hand for PIP or MCP reconstruction","volume":"37","author":"Dautel","year":"2018","journal-title":"Hand Surg Rehabil"},{"key":"R5-20250512","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1007\/BF00416751","article-title":"The hypoplastic thumb","volume":"62","author":"Blauth","year":"1967","journal-title":"Arch Orthop Unfallchir"},{"key":"R6-20250512","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1016\/j.jhsa.2009.12.020","article-title":"Reconstruction of the hypoplastic thumb","volume":"35","author":"Light","year":"2010","journal-title":"J Hand Surg Am"},{"key":"R9-20250512","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1016\/S0363-5023(82)80140-8","article-title":"Vascularized autogenous whole joint transfer in the hand\u2014a clinical study","volume":"7","author":"Tsai","year":"1982","journal-title":"J Hand Surg Am"},{"key":"R10-20250512","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1097\/01.bth.0000136401.69718.7c","article-title":"PIP reconstruction with vascularized PIP joint from the second toe: minimizing the morbidity with the \u201cdorsal approach and short-pedicle technique\u201d","volume":"8","author":"Dautel","year":"2004","journal-title":"Tech Hand Up Extrem Surg"}],"container-title":["Techniques in Hand &amp; Upper Extremity Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/BTH.0000000000000339","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T16:08:11Z","timestamp":1747066091000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/BTH.0000000000000339"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,2]]},"references-count":8,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1097\/bth.0000000000000339","relation":{},"ISSN":["1531-6572"],"issn-type":[{"type":"electronic","value":"1531-6572"}],"subject":[],"published":{"date-parts":[[2021,2,2]]}}}