{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:02:42Z","timestamp":1777852962711,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2021,4,22]],"date-time":"2021-04-22T00:00:00Z","timestamp":1619049600000},"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":[[2021,9]]},"abstract":"<jats:p>Metacarpal osteotomies are done to correct deviation deformity in thumb duplication. We describe a suture-only technique of metacarpal osteosynthesis, without using K-wires. Thirteen Flatt Type IV thumbs and five Wassel Type VII thumbs were reconstructed with this technique. The median follow-up was 23\u00a0months. After osteotomy, the metacarpal bone fragments were sutured together with 5-0 polyglactin or 4-0 polydioxanone sutures. Metacarpal fragment displacement was not observed on postoperative radiographs obtained at 1 and 2\u00a0weeks. Bony union was achieved at 6\u00a0weeks without loss of alignment. The metacarpophalangeal joint alignment was anatomical (\u22645\u00b0 deviation) in eight cases. The mean pre- and postoperative metacarpophalangeal joint alignments were 27\u00b0 and 9\u00b0, respectively. The 11 patients who were available for grading with the Japanese Society for Surgery of the Hand Score were assessed as good. Complete internalization of the bony fixation eliminates infections associated with exposed K-wires without compromising the overall outcome.<\/jats:p>\n                  <jats:p>Level of evidence: IV<\/jats:p>","DOI":"10.1177\/17531934211010078","type":"journal-article","created":{"date-parts":[[2021,4,22]],"date-time":"2021-04-22T07:20:13Z","timestamp":1619076013000},"page":"762-767","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Suture osteosynthesis in the bony reconstruction of thumb duplication"],"prefix":"10.1177","volume":"46","author":[{"given":"Ee Ming","family":"Chew","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, KK Women\u2019s and Children\u2019s Hospital, Singapore, Republic of Singapore"},{"name":"Department of Hand and Reconstructive Microsurgery, Singapore General Hospital, Singapore, Republic of Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth Pak Leung","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, KK Women\u2019s and Children\u2019s Hospital, Singapore, Republic of Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher Mao Sheng","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, KK Women\u2019s and Children\u2019s Hospital, Singapore, Republic of Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lam Chuan","family":"Teoh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, KK Women\u2019s and Children\u2019s Hospital, Singapore, Republic of Singapore"},{"name":"Department of Hand and Reconstructive Microsurgery, Tan Tock Seng Hospital, Singapore, Republic of Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,4,22]]},"reference":[{"key":"bibr1-17531934211010078","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2010.01.013"},{"key":"bibr2-17531934211010078","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000001589"},{"key":"bibr3-17531934211010078","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200703000-00010"},{"key":"bibr4-17531934211010078","doi-asserted-by":"publisher","DOI":"10.1136\/adc.67.9.1063"},{"key":"bibr5-17531934211010078","doi-asserted-by":"publisher","DOI":"10.1177\/1753193410373686"},{"key":"bibr6-17531934211010078","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.M.00067"},{"key":"bibr7-17531934211010078","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000000408"},{"key":"bibr8-17531934211010078","unstructured":"Flatt A. Extra thumbs.\n                      The care of congenital hand anomalies\n                      , 2nd Edn. 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In: Gupta A, Kay SPJ, Scheker LR (Eds.)\n                      The growing hand: diagnosis and management of the upper extremity in children.\n                      London, Mosby, 2000: 243\u201354."},{"key":"bibr18-17531934211010078","doi-asserted-by":"publisher","DOI":"10.4055\/cios.2012.4.1.1"},{"key":"bibr19-17531934211010078","doi-asserted-by":"publisher","DOI":"10.1016\/J.JHSE.2007.05.021"},{"key":"bibr20-17531934211010078","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2015.06.097"},{"key":"bibr21-17531934211010078","first-page":"175","volume":"64","author":"Wassel HD","year":"1969","journal-title":"A review. 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