{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T02:27:51Z","timestamp":1777861671145,"version":"3.51.4"},"reference-count":23,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T00:00:00Z","timestamp":1772928000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T00:00:00Z","timestamp":1772928000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In extensor pollicis longus ruptures not amenable to primary repair, secondary reconstruction of the tendon has traditionally been performed using either extensor indicis transposition or free tendon graft techniques. This paper constitutes a systematic review and meta\u2010analysis of the current literature with a focus on Geldmacher's scoring to identify the effectiveness of these procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a literature search of medical databases to identify papers fulfilling the inclusion criteria. A meta\u2010analysis abiding by Preferred Reporting Items of Systematic Reviews and Meta\u2010analyses was completed with Geldmacher's score as a primary outcome and objective measurement of functional recovery following each procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nine papers were identified and included in the meta\u2010analysis following independent review by three researchers. On analysis of the data, \u201cvery good\u201d and \u201cgood\u201d Geldmacher's scores were achieved in 81.8% of patients who underwent extensor indicis transfer and 87.5% of patients who underwent tendon grafting. These results suggest that both techniques represent an equivalent return to postoperative function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This systematic review and meta\u2010analysis found that both extensor indicis transfer and tendon graft provide a practically equivalent return to function following extensor pollicis longus reconstruction. However, clinical limitations of tendon grafting, along with theoretical models of tendon repair may suggest extensor indicis as a more reliable means of reconstruction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70558","type":"journal-article","created":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T05:51:33Z","timestamp":1773035493000},"page":"836-843","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Extensor Indicis Proprius Transfers Versus Tendon Graft in Extensor Pollicis Longus Reconstruction: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0943-7711","authenticated-orcid":false,"given":"Daniel J.","family":"Keating","sequence":"first","affiliation":[{"name":"St Vincent's Hospital Melbourne  Fitzroy Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon J.","family":"Maciburko","sequence":"additional","affiliation":[{"name":"St Vincent's Hospital Melbourne  Fitzroy Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pradyumna","family":"Herle","sequence":"additional","affiliation":[{"name":"St Vincent's Hospital Melbourne  Fitzroy Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony C.","family":"Berger","sequence":"additional","affiliation":[{"name":"St Vincent's Hospital Melbourne  Fitzroy Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,8]]},"reference":[{"issue":"5","key":"e_1_2_13_2_1","first-page":"881","article-title":"Extensor Indicis Proprius Transfer for Rupture of the Extensor Pollicis Longus Tendon","volume":"72","author":"Magnussen P. 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