{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:05:42Z","timestamp":1777853142809,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2018,6,5]],"date-time":"2018-06-05T00:00:00Z","timestamp":1528156800000},"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":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:p>This article defines a sensate, pedicled heterodigital flap from the proximal radial side of the index finger for reconstructing large soft tissue defects of the thumb. The pedicle consists of the radial digital artery of the index finger. Dorsal sensory branch of proper digital nerve and one of the terminal sensory branches of radial nerve are included in the flap for sensation. The results of 17 consecutive patients at 24 months revealed mean static two-point discrimination of 7\u2009mm at the reconstruction site and 10 patients were able to feel 4\u2009mm at the reconstructed thumb. The mean range of motion of metacarpophalangeal and interphalangeal joints of operated thumbs reached 94% and 66%, the mean grip span reached 96% compared with the uninjured side. The presented flap provided a simple yet favourable alternative for reconstruction of the thumb tip, with thick and durable tissue requiring minimum dissection and donor side morbidity.<\/jats:p>\n                  <jats:p>Level of evidence: IV<\/jats:p>","DOI":"10.1177\/1753193418778447","type":"journal-article","created":{"date-parts":[[2018,6,6]],"date-time":"2018-06-06T01:43:46Z","timestamp":1528249426000},"page":"1036-1043","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Reconstruction of extensive pulp defects of the thumb with a radial-based pedicled flap from the index finger"],"prefix":"10.1177","volume":"43","author":[{"given":"Tulgar","family":"Toros","sequence":"first","affiliation":[{"name":"Hand and Microsurgery & Orthopedics and Traumatology (EMOT) Hospital, Izmir, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuf","family":"Gurbuz","sequence":"additional","affiliation":[{"name":"Hand and Microsurgery & Orthopedics and Traumatology (EMOT) Hospital, Izmir, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beray","family":"Kelesoglu","sequence":"additional","affiliation":[{"name":"Hand and Microsurgery & Orthopedics and Traumatology (EMOT) Hospital, Izmir, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kemal","family":"Ozaksar","sequence":"additional","affiliation":[{"name":"Hand and Microsurgery & Orthopedics and Traumatology (EMOT) Hospital, Izmir, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tahir Sad\u0131k","family":"Sugun","sequence":"additional","affiliation":[{"name":"Hand and Microsurgery & Orthopedics and Traumatology (EMOT) Hospital, Izmir, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,6,5]]},"reference":[{"key":"bibr1-1753193418778447","doi-asserted-by":"publisher","DOI":"10.1054\/JHSB.1999.0161"},{"key":"bibr2-1753193418778447","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-008-0347-0"},{"key":"bibr3-1753193418778447","unstructured":"Bell Krotoski JA. Sensibility testing current concepts. In: Hunter JM, Mackin EJ, Callahan AD (eds)\n                      Rehabilitation of the hand: surgery and therapy\n                      . Mosby, St. Louis, 1995, Vol. 1: 109\u2013128."},{"key":"bibr4-1753193418778447","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-006-0109-9"},{"key":"bibr5-1753193418778447","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22198"},{"key":"bibr6-1753193418778447","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2010.06.030"},{"key":"bibr7-1753193418778447","doi-asserted-by":"publisher","DOI":"10.1016\/S0894-1130(12)80297-3"},{"key":"bibr8-1753193418778447","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(83)80083-5"},{"key":"bibr9-1753193418778447","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2008.10.028"},{"key":"bibr11-1753193418778447","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681_86_90253-6"},{"key":"bibr12-1753193418778447","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200102000-00007"},{"key":"bibr13-1753193418778447","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-013-0260-8"},{"key":"bibr15-1753193418778447","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2013.03.013"},{"key":"bibr16-1753193418778447","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-016-0674-1"},{"key":"bibr17-1753193418778447","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(10)80065-6"},{"key":"bibr20-1753193418778447","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182402d43"},{"key":"bibr21-1753193418778447","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)78340-9"},{"key":"bibr22-1753193418778447","doi-asserted-by":"publisher","DOI":"10.1002\/micr.1920080310"},{"key":"bibr23-1753193418778447","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-013-1704-y"},{"key":"bibr24-1753193418778447","doi-asserted-by":"publisher","DOI":"10.1177\/1753193416641590"},{"key":"bibr25-1753193418778447","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199802000-00007"},{"key":"bibr126-1753193418778447","doi-asserted-by":"crossref","unstructured":"Tang JB. Re. Levels of experience of surgeons in clinical studies. J Hand Surg Eur. 2009, 34: 137\u20138.","DOI":"10.1177\/17531934097321"},{"key":"bibr26-1753193418778447","first-page":"568","volume":"14","author":"Xarchas KC","year":"2008","journal-title":"Med Sci Monit"},{"key":"bibr27-1753193418778447","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2009.07.067"},{"key":"bibr127-1753193418778447","doi-asserted-by":"crossref","unstructured":"Zhang X, Shao X, Ren C, Zhang Z, Wen S, Sun J. Reconstruction of thumb pulp defects using a modified kite flap. J Hand Surg Am. 2011, 36: 1597\u2013603.","DOI":"10.1016\/j.jhsa.2011.06.033"}],"container-title":["Journal of Hand Surgery (European Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753193418778447","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1753193418778447","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753193418778447","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:48:47Z","timestamp":1777502927000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1753193418778447"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,5]]},"references-count":25,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2018,12]]}},"alternative-id":["10.1177\/1753193418778447"],"URL":"https:\/\/doi.org\/10.1177\/1753193418778447","relation":{},"ISSN":["1753-1934","2043-6289"],"issn-type":[{"value":"1753-1934","type":"print"},{"value":"2043-6289","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6,5]]}}}