{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T22:39:18Z","timestamp":1782513558225,"version":"3.54.5"},"reference-count":29,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2023,5,21]],"date-time":"2023-05-21T00:00:00Z","timestamp":1684627200000},"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":[[2023,10]]},"abstract":"<jats:p>We report the long-term patient-reported outcomes and objective outcomes of a homodigital neurovascular island flap for distal phalangeal amputations in the fingers (with the thumb excluded) for 20 patients at a median follow-up of 4.4 years (IQR 2.2 to 12.3). We assessed the global subjective and aesthetic outcomes, range of motion, sensitivity and strength. The patient-reported median subjective global score was 7.5\/10 points (IQR 7 to 9) and the aesthetic score was 8\/10 points (IQR 8 to 9). Range of motion, sensitivity and strength were similar to the uninjured side. Stiffness was present in more than half of the cases; 14 patients had a hook nail deformity and seven patients reported symptomatic cold intolerance. At a long-term follow-up, the patient-reported outcome measures and objective outcomes of this flap are satisfactory and it is a safe and reliable flap.<\/jats:p>\n                  <jats:p>\n                    <jats:bold>Level of evidence:<\/jats:bold>\n                    IV\n                  <\/jats:p>","DOI":"10.1177\/17531934231172081","type":"journal-article","created":{"date-parts":[[2023,5,22]],"date-time":"2023-05-22T02:25:36Z","timestamp":1684722336000},"page":"920-925","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Long-term patient-reported outcome measures of fingertip coverage with a homodigital unipedicle neurovascular island flap"],"prefix":"10.1177","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6203-1625","authenticated-orcid":false,"given":"Edouard","family":"Rob","sequence":"first","affiliation":[{"name":"Service de Chirurgie de la Main et du Membre Sup\u00e9rieur, H\u00f4pital Edouard Herriot, Lyon, France"},{"name":"Service de chirurgie orthop\u00e9dique, H\u00f4pital Pierre Zobda Quitman, Fort-de-France, Martinique, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thibault","family":"Druel","sequence":"additional","affiliation":[{"name":"Service de Chirurgie de la Main et du Membre Sup\u00e9rieur, H\u00f4pital Edouard Herriot, Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Jalaguier","sequence":"additional","affiliation":[{"name":"Service de Chirurgie de la Main et du Membre Sup\u00e9rieur, H\u00f4pital Edouard Herriot, Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnaud","family":"Walch","sequence":"additional","affiliation":[{"name":"Service de Chirurgie de la Main et du Membre Sup\u00e9rieur, H\u00f4pital Edouard Herriot, Lyon, France"},{"name":"Service de chirurgie orthop\u00e9dique, H\u00f4pital Pierre Zobda Quitman, Fort-de-France, Martinique, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aram","family":"Gazarian","sequence":"additional","affiliation":[{"name":"Service de Chirurgie de la Main et du Membre Sup\u00e9rieur, H\u00f4pital Edouard Herriot, Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,5,21]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1047-9651(18)30229-8"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0072-968X(80)80049-0"},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-019-03198-4"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000172980.73633.11"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0072-968X(79)80011-X"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/15589447221127332"},{"key":"e_1_3_4_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(97)80282-3"},{"key":"e_1_3_4_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681_89_90127-7"},{"key":"e_1_3_4_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(90)90102-W"},{"key":"e_1_3_4_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197407001-00009"},{"key":"e_1_3_4_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(93)90303-K"},{"key":"e_1_3_4_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-198906000-00005"},{"key":"e_1_3_4_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(95)80056-5"},{"key":"e_1_3_4_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2007.12.005"},{"key":"e_1_3_4_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jht.2018.05.004"},{"key":"e_1_3_4_17_1","first-page":"917","article-title":"Neurovascular pedicle transfer of tissue in reconstructive surgery of the hand.","volume":"38","author":"Littler J.","year":"1956","unstructured":"Littler J. Neurovascular pedicle transfer of tissue in reconstructive surgery of the hand. J Bone Joint Surg Am. 1956, 38: 917.","journal-title":"J Bone Joint Surg Am"},{"key":"e_1_3_4_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0753-9053(82)80074-4"},{"key":"e_1_3_4_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2015.08.008"},{"key":"e_1_3_4_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(94)90149-X"},{"key":"e_1_3_4_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681_86_90003-3"},{"key":"e_1_3_4_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2017.12.014"},{"key":"e_1_3_4_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0753-9053(85)80050-8"},{"key":"e_1_3_4_24_1","first-page":"75","article-title":"Modification of the Kutler flap: neurovascular pedicle.","volume":"8","author":"Segm\u00fcller G.","year":"1976","unstructured":"Segm\u00fcller G. Modification of the Kutler flap: neurovascular pedicle. Handchirurgie. 1976, 8: 75\u20136.","journal-title":"Handchirurgie"},{"key":"e_1_3_4_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200004040-00012"},{"key":"e_1_3_4_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/1753193416641590"},{"key":"e_1_3_4_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/1753193413515134"},{"key":"e_1_3_4_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.JHSB.2005.04.014"},{"key":"e_1_3_4_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198008000-00026"},{"key":"e_1_3_4_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/15589447211003179"}],"container-title":["Journal of Hand Surgery (European Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17531934231172081","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17531934231172081","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17531934231172081","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T08:04:23Z","timestamp":1780041863000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17531934231172081"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,21]]},"references-count":29,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1177\/17531934231172081"],"URL":"https:\/\/doi.org\/10.1177\/17531934231172081","relation":{},"ISSN":["1753-1934","2043-6289"],"issn-type":[{"value":"1753-1934","type":"print"},{"value":"2043-6289","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,21]]}}}