{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T06:48:14Z","timestamp":1791528494573,"version":"4.3.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2016,7,28]],"date-time":"2016-07-28T00:00:00Z","timestamp":1469664000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:p>Background: The purpose of this study is to describe a novel technique using an interposition vein graft for thumb replantation in these severe avulsion injuries. Methods: From 2002 to 2012, 8 patients underwent interposition venous bridge grafting from the dorsal radial artery at the anatomic snuffbox to the ulnar digital artery of the thumb. All patients had a traumatic thumb amputation with a severe injury to the ulnar digital artery. The technique began with bony stabilization; the radial artery at the anatomic snuffbox is exposed, vein graft harvested, and microsurgical end-to-side (proximally) and end-to-end (distally) anastomoses are carried out. Results: The average time to the operating room was 7.4 hours and time to reperfusion was 9.5 hours. At 3.1 years of follow-up, all 8 thumbs remained viable, without any need for revision procedures. The only complication was a metacarpal shaft nonunion treated successfully with iliac crest bone grafting. At last follow-up, all patients reported no or mild pain, with an average metacarpophalangeal (MCP) range of motion of 46.5\u00b0, and intact but diminished 2-point discrimination. All patients were able to return to work full-time. Conclusions: Due to the challenging nature of thumb avulsion injuries and the pronated position of the thumb, novel salvage alternatives are important. We describe a technique when no proximal vessels are available, using a vein to bridge the dorsal radial artery to the ulnar digital artery of the thumb. This novel arterial reconstruction has shown promise in thumb replantation associated with severe avulsion injuries.<\/jats:p>","DOI":"10.1177\/1558944716661997","type":"journal-article","created":{"date-parts":[[2016,7,28]],"date-time":"2016-07-28T22:49:15Z","timestamp":1469746155000},"page":"272-276","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Venous Bridge Arterial Grafting for Thumb Replantation"],"prefix":"10.1177","volume":"12","author":[{"given":"Eric R.","family":"Wagner","sequence":"first","affiliation":[{"name":"Mayo Clinic, Rochester, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allen T.","family":"Bishop","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Rochester, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander Y.","family":"Shin","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Rochester, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,7,28]]},"reference":[{"key":"bibr1-1558944716661997","first-page":"51","volume":"24","author":"Adani R","year":"1995","journal-title":"Ann Acad Med Singapore"},{"key":"bibr2-1558944716661997","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-200206000-00002"},{"key":"bibr3-1558944716661997","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-199803000-00004"},{"key":"bibr4-1558944716661997","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2010.12.023"},{"key":"bibr5-1558944716661997","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000252717.88972.01"},{"key":"bibr6-1558944716661997","first-page":"599","volume":"25","author":"Jin GQ","year":"2012","journal-title":"Zhongguo Gu Shang"},{"key":"bibr7-1558944716661997","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2006.11.003"},{"key":"bibr8-1558944716661997","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2004.07.015"},{"key":"bibr9-1558944716661997","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e318221dc83"},{"key":"bibr10-1558944716661997","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(84)80188-4"},{"key":"bibr11-1558944716661997","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(81)80006-8"},{"key":"bibr12-1558944716661997","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198567040-00017"},{"key":"bibr13-1558944716661997","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-198901000-00002"}],"container-title":["HAND"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1558944716661997","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1558944716661997","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1558944716661997","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:28:29Z","timestamp":1777447709000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1558944716661997"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7,28]]},"references-count":13,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2017,5]]}},"alternative-id":["10.1177\/1558944716661997"],"URL":"https:\/\/doi.org\/10.1177\/1558944716661997","relation":{},"ISSN":["1558-9447","1558-9455"],"issn-type":[{"value":"1558-9447","type":"print"},{"value":"1558-9455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,7,28]]}}}