{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:19:21Z","timestamp":1777497561204,"version":"3.51.4"},"reference-count":55,"publisher":"SAGE Publications","issue":"1-2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CH"],"published-print":{"date-parts":[[2024,2,22]]},"abstract":"<jats:p>BACKGROUND: Complex injuries of the hand frequently result in loss of essential functional features. Common reconstructive procedures for soft tissue defects of the thumb or phalanges are locoregional flaps like Moberg-, Foucher-, Cross-Finger- or Littler flaps. Microneurovascular toe (joint-) transfers complete the arsenal of operative reconstructive procedures and allow for most detailed reconstructions. Our experiences with free toe transplants are reported and diversely discussed regarding contending procedures. METHODS: From 2010 until 2019 14 patients who received emergency or elective partial or complete toe transfers were compared with a control group (n\u200a=\u200a12) treated with contending reconstructive procedures. Aim of the reconstructions was to cover the defect with well-vascularized, sensate tissue, while preserving length and range of motion in a reliable manner. RESULTS: The Kapandji score showed a significant difference (p- value\u200a=\u200a0.04) with a score of 9.8 in comparison to control group (Kapandji index\u200a=\u200a8.0). CONCLUSION: In our heterogenic patient collective free toe transplants have proven to achieve comparable functional results for reconstruction of two and tripartite phalanxes as opposed to common local reconstructive procedures.<\/jats:p>","DOI":"10.3233\/ch-238114","type":"journal-article","created":{"date-parts":[[2023,9,22]],"date-time":"2023-09-22T11:41:42Z","timestamp":1695382902000},"page":"71-88","source":"Crossref","is-referenced-by-count":1,"title":["Free neurovascular toe-(joint)-transfers compared to alternative reconstructive procedures for amputation injuries of two and tripartite fingers with substance loss"],"prefix":"10.1177","volume":"86","author":[{"given":"E.","family":"Brix","sequence":"first","affiliation":[{"name":"Department of Plastic, Hand and Reconstructive Surgery, University Hospital Regensburg, Regensburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Prantl","sequence":"additional","affiliation":[{"name":"Department of Plastic, Hand and Reconstructive Surgery, University Hospital Regensburg, Regensburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Anker","sequence":"additional","affiliation":[{"name":"Department of Plastic, Hand and Reconstructive Surgery, University Hospital Regensburg, Regensburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Klein","sequence":"additional","affiliation":[{"name":"Department of Plastic, Hand and Reconstructive Surgery, University Hospital Regensburg, Regensburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Kehrer","sequence":"additional","affiliation":[{"name":"Department of Plastic, Hand and Reconstructive Surgery, University Hospital Regensburg, Regensburg, Germany"},{"name":"Department of Plastic and Reconstructive Surgery, Ingolstadt Hospital, Ingolstadt, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","reference":[{"key":"10.3233\/CH-238114_ref1","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1002\/micr.20549","article-title":"Great toe transplant versus thumb replant for isolated thumb amputation: critical analysis of functional outcome","volume":"28","author":"Rosson","year":"2008","journal-title":"Microsurgery"},{"key":"10.3233\/CH-238114_ref2","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1097\/00006534-199609000-00019","article-title":"Aesthetic refinements in toe-to-hand transfer surgery","volume":"98","author":"Wie","year":"1996","journal-title":"Plast Reconstr Surg"},{"key":"10.3233\/CH-238114_ref3","doi-asserted-by":"crossref","unstructured":"Dec W . 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