{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:51:13Z","timestamp":1787755873402,"version":"build-2784847793"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>An 11-month-old male child presented with severe congenital thumb hypoplasia, syndactyly of the thumb and index finger, and radial longitudinal deficiency. A novel three-stage surgical approach was performed to achieve functionality while respecting familial preference for thumb preservation using sequential syndactyly release, structural reconstruction using bone graft, and muscle and tendon transfers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The reconstructed thumb demonstrated early wound healing, stable alignment, and maintained a 45-degree palmar abduction even up to 5 years postoperatively. Despite minor fine motor limitations, the patient showed functional improvement and performed activities of daily living excellently, successfully meeting esthetic and functional goals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00223","type":"journal-article","created":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T18:01:13Z","timestamp":1756404073000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A Three-Stage Surgical Approach to Preserving a Severely Hypoplastic Thumb with Syndactyly"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-1660-5180","authenticated-orcid":false,"given":"Maria Patricia M.","family":"Valdez","sequence":"first","affiliation":[{"name":"Division of Orthopaedic Surgery, Department of Surgical Specialties, National Center for Child Health and Development, Setagaya-ku, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5011-6015","authenticated-orcid":false,"given":"Takehiko","family":"Takagi","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Department of Surgical Specialties, National Center for Child Health and Development, Setagaya-ku, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3789-9008","authenticated-orcid":false,"given":"Charmaine Blanche C.","family":"Badilles","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Department of Surgical Specialties, National Center for Child Health and Development, Setagaya-ku, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinichiro","family":"Takayama","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Department of Surgical Specialties, National Center for Child Health and Development, Setagaya-ku, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7]]},"reference":[{"issue":"1","key":"bib1-20250828","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1177\/1753193418793579","article-title":"Surgical techniques for reconstruction of the hypoplastic thumb","volume":"44","author":"Mende","year":"2019","journal-title":"J Hand Surg Eur Vol."},{"issue":"9","key":"bib2-20250828","doi-asserted-by":"crossref","first-page":"1497","DOI":"10.1016\/j.jhsa.2010.06.013","article-title":"Radial longitudinal deficiencies with hypoplastic\/absent thumbs and cutaneous syndactyly of the most radial digits","volume":"35","author":"Satake","year":"2010","journal-title":"J Hand Surg."},{"issue":"4","key":"bib3-20250828","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1097\/BTH.0000000000000341","article-title":"Functional and cosmetic reconstruction of floating thumb: a thumb-preserving technique","volume":"25","author":"Takagi","year":"2021","journal-title":"Tech Hand Up Extrem Surg."},{"issue":"9","key":"bib4-20250828","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1177\/17531934231223019","article-title":"Non-vascularized metatarsal transfer for thumb hypoplasia: a medium-to long-term retrospective study of 41 patients","volume":"49","author":"Iigaya","year":"2024","journal-title":"J Hand Surg Eur Vol."},{"issue":"2","key":"bib5-20250828","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1097\/MRR.0000000000000110","article-title":"Influence of finger amputation on grip strength and objectively measured hand function: a descriptive cross-sectional study","volume":"38","author":"Kuret","year":"2015","journal-title":"Int J Rehabil Res."},{"issue":"1","key":"bib6-20250828","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1080\/09638288.2016.1243159","article-title":"Congenital thumb anomalies and the consequences for daily life: patients' long-term experience after corrective surgery. A qualitative study","volume":"40","author":"Carlsson","year":"2018","journal-title":"Disabil Rehabil."},{"issue":"4","key":"bib7-20250828","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1097\/00130911-200212000-00002","article-title":"Modified abductor digiti minimi opponensplasty in congenital hypoplastic thumb with laxity of metacarpophalangeal joint","volume":"6","author":"Takayama","year":"2002","journal-title":"Tech Hand Up Extrem Surg."},{"issue":"2","key":"bib9-20250828","doi-asserted-by":"crossref","first-page":"2309499019838900","DOI":"10.1177\/2309499019838900","article-title":"Parenting stress in mothers of children with congenital hand or foot differences and its effect on the surgical decision-making for their children","volume":"27","author":"Kim","year":"2019","journal-title":"J Orthop Surg."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00223","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:53:18Z","timestamp":1787752398000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00223"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":8,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.25.00223","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]}}}