{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T16:44:42Z","timestamp":1789577082282,"version":"build-2803163510"},"reference-count":16,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2024,1,5]],"date-time":"2024-01-05T00:00:00Z","timestamp":1704412800000},"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":[[2024,10]]},"abstract":"<jats:p>We retrospectively reviewed 41 Manske type IIIB and IV hypoplastic thumbs reconstructed with non-vascularized fourth metatarsal transfers with a mean age of 3.1 years (range 2\u20137) at the time of operation. These patients were observed for at least 5 years postoperatively. Of the 41 hands, 13 developed complications: type IV patients had significantly more complications ( p\u2009=\u20090.014) although using an additional cerclage wire for bony fixation significantly reduced the complication rate ( p\u2009=\u20090.045). Of the 31 hands examined with regard to growth, eight exhibited early physeal arrest of bone graft within 5 years postoperatively. The growth rate of the reconstructed first metacarpal bone was significantly lower than that of the second metacarpal bone 10 years after surgery ( p\u2009=\u20090.041). Transfer of the non-vascularized fourth metatarsal remains an alternative for type IIIB and IV hypoplastic thumbs if parents desire to keep a five-fingered hand.<\/jats:p>\n                  <jats:sec>\n                    <jats:title>Level of evidence:<\/jats:title>\n                    <jats:p>III<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17531934231223019","type":"journal-article","created":{"date-parts":[[2024,1,5]],"date-time":"2024-01-05T06:03:13Z","timestamp":1704434593000},"page":"1119-1125","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Non-vascularized metatarsal transfer for thumb hypoplasia: a medium- to long-term retrospective study of 41 patients"],"prefix":"10.1177","volume":"49","author":[{"given":"Ruriko","family":"Iigaya","sequence":"first","affiliation":[{"name":"Division of Orthopaedic Surgery, Department of Surgical Specialties, National Center for Child Health and 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