{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T17:48:29Z","timestamp":1782496109378,"version":"3.54.5"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>Two patients, a 65-year-old male and a 61-year-old female, presented with 5-digit partial hand amputations following pressor-induced necrosis and an industrial accident, respectively. Both patients had thumb metacarpophalangeal disarticulations with healthy interossei. These patients underwent combined Starfish procedures and thumb on-top-plasty utilizing the necessarily resected distal index metacarpals. Both patients went on to bony union, functional opposition, and use of their myoelectric prostheses. For patients with 5-digit partial hand amputations, the use of the resected distal 3\u00a0cm of index metacarpal to lengthen the remnant thumb can be done safely while performing a Starfish reconstruction.<\/jats:p>","DOI":"10.1097\/bth.0000000000000554","type":"journal-article","created":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T15:00:21Z","timestamp":1774364421000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Concomitant Starfish Procedure and Thumb On-Top-Plasty: Surgical Technique and a Report of 2 Cases"],"prefix":"10.1097","volume":"30","author":[{"given":"Joseph P.","family":"Scollan","sequence":"first","affiliation":[{"name":"OrthoCarolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nainisha","family":"Chintalapudi","sequence":"additional","affiliation":[{"name":"Atrium Health Department of Orthopaedic Surgery, Charlotte, NC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan J.","family":"Loeffler","sequence":"additional","affiliation":[{"name":"OrthoCarolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. Glenn","family":"Gaston","sequence":"additional","affiliation":[{"name":"OrthoCarolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6]]},"reference":[{"key":"R1-20260626","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1097\/BTH.0000000000000412","article-title":"The Starfish procedure for independent digital control of a myoelectric prosthesis","volume":"27","author":"Denduluri","year":"2023","journal-title":"Tech Hand Up Extrem Surg"},{"key":"R2-20260626","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1016\/j.hcl.2021.04.007","article-title":"Starfish procedure","volume":"37","author":"Grier","year":"2021","journal-title":"Hand Clin"},{"key":"R3-20260626","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1080\/23320885.2021.1935965","article-title":"Thumb reconstruction by \u201con-top-plasty\u201d of the long finger","volume":"8","author":"Greyson","year":"2021","journal-title":"Case Reports Plast Surg Hand Surg"},{"key":"R4-20260626","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":"Waljee","year":"2013","journal-title":"J Hand Surg Am"},{"key":"R5-20260626","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1055\/s-0039-3400203","article-title":"Distraction lengthening of first metacarpal in traumatic thumb amputations","volume":"52","author":"Saleem","year":"2019","journal-title":"Indian J Plast Surg"},{"key":"R6-20260626","article-title":"Thumb amputations treated with osseointegrated percutaneous prostheses with up to 25 years of follow-up","volume":"3","author":"Li","year":"2019","journal-title":"J Am Acad Orthop Surg Glob Res Rev"},{"key":"R7-20260626","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1097\/00006534-194809000-00003","article-title":"Reconstruction of the thumb by transposition of an adjacent digit","volume":"3","author":"Tanzer","year":"1948","journal-title":"Plast Reconstr Surg (1946)"}],"container-title":["Techniques in Hand &amp; Upper Extremity Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/BTH.0000000000000554","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T17:00:35Z","timestamp":1782493235000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/BTH.0000000000000554"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,24]]},"references-count":7,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.1097\/bth.0000000000000554","relation":{},"ISSN":["1531-6572"],"issn-type":[{"value":"1531-6572","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,24]]},"assertion":[{"value":"2025-07-29","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-21","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}