{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T12:44:18Z","timestamp":1782218658464,"version":"3.54.5"},"reference-count":25,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T00:00:00Z","timestamp":1733356800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:p>One of the primary challenges in hand microsurgical reconstruction lies in addressing severe hand injuries, particularly those involving multiple finger amputations, as autologous replantation might not fully restore hand functionality. In such scenarios, fully shaped reconstruction of a severed finger combined with Ectopic banking could yield superior reconstructive outcomes and enhance the amputated limb's function. This case report presents a unique approach that combines ectopic replantation of an amputated finger with interphalangeal reconstruction methods to restore both the form and function of the hand. A 43-year-old female patient suffered an injury to her left hand, leading to ischaemic amputation of all four fingers. Our treatment strategy involved a blend of allograft reimplantation, interdigital reconstruction, iliac bone grafting, and metacarpophalangeal joint fusion to revive the hand's functionality. A year post-surgery, the toe-to-finger reconstructions of the left thumb and middle finger exhibited excellent survival, although the ring and little fingers were lost. The flap located on the dorsum of the left foot healed seamlessly, with uninterrupted blood flow to the toe tips and no complications. As a result, the patient retained three fingers and regained functional activity. Our study underscores that the synergistic approach of fully shaped reconstruction of a severed finger combined with Ectopic banking not only elevates surgical efficiency but also significantly bolsters hand morphology and function. This case report underscores the significance of the Treatment of a complex hand disfigurement injury by fully shaped reconstruction of a severed finger combined with Ectopic banking in the realm of finger reconstruction, highlighting their transformative potential in restoring hand function and appearance.<\/jats:p>","DOI":"10.3389\/fsurg.2024.1488338","type":"journal-article","created":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T13:07:24Z","timestamp":1733404044000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Case Report: Treatment of a complex hand disfigurement injury by fully shaped reconstruction of a severed finger combined with ectopic banking"],"prefix":"10.3389","volume":"11","author":[{"given":"Zhengfeng","family":"Jia","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Longbao","family":"Shi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weilu","family":"Gao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Han","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianzheng","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weidong","family":"Shi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiantao","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianwen","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,12,5]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"373","DOI":"10.5435\/JAAOS-D-14-00039","article-title":"Replantation of the upper extremity","volume":"23","author":"Wolfe","year":"2015","journal-title":"J Am Acad Orthop Surg"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13051289","article-title":"Functional outcomes in upper limb replantation-a systematic review","volume":"13","author":"Bueno","year":"2024","journal-title":"J Clin Med"},{"key":"B3","doi-asserted-by":"publisher","first-page":"1389","DOI":"10.1111\/iwj.13732","article-title":"Reconstruction of fully shaped fingers using a free great toe nail flap combined with a second toe tissue flap","volume":"19","author":"Hou","year":"2022","journal-title":"Int Wound J"},{"key":"B4","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1097\/00006534-198609000-00003","article-title":"Salvage of the mutilated upper extremity with temporary ectopic implantation of the undamaged part","volume":"78","author":"Godina","year":"1986","journal-title":"Plast Reconstr Surg"},{"key":"B5","doi-asserted-by":"publisher","first-page":"463","DOI":"10.1016\/j.jhsa.2005.12.016","article-title":"Salvage of impending replant failure by temporary ectopic replantation: a case report","volume":"31","author":"Cavadas","year":"2006","journal-title":"J Hand Surg Am"},{"key":"B6","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1016\/j.cps.2019.03.002","article-title":"Efficiency in digital and hand replantation","volume":"46","author":"Ono","year":"2019","journal-title":"Clin Plast Surg"},{"key":"B7","doi-asserted-by":"publisher","first-page":"1235","DOI":"10.1097\/PRS.0000000000000716","article-title":"Reconstruction of the traumatized thumb","volume":"134","author":"Pet","year":"2014","journal-title":"Plast Reconstr Surg"},{"key":"B8","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1055\/s-0042-1758689","article-title":"Great toe transplantation","volume":"36","author":"Forte","year":"2022","journal-title":"Semin Plast Surg"},{"key":"B9","first-page":"130","article-title":"Post-traumatic thumb reconstruction","volume":"60","author":"Elbeshbeshy","year":"2001","journal-title":"Bull Hosp Jt Dis"},{"key":"B10","doi-asserted-by":"publisher","first-page":"2783","DOI":"10.1016\/j.injury.2016.10.004","article-title":"Comparison of patient-reported outcomes after traumatic upper extremity amputation: replantation versus prosthetic rehabilitation","volume":"47","author":"Pet","year":"2016","journal-title":"Injury"},{"key":"B11","doi-asserted-by":"publisher","first-page":"506","DOI":"10.1097\/00006534-198809000-00025","article-title":"Reconstruction of the thumb with a trimmed-toe transfer technique","volume":"82","author":"Wei","year":"1988","journal-title":"Plast Reconstr Surg"},{"key":"B12","doi-asserted-by":"publisher","first-page":"955.e1","DOI":"10.1016\/j.jhsa.2018.03.022","article-title":"An alternative thumb reconstruction by double microsurgical transfer from the great and second toe for a carpometacarpal amputation","volume":"43","author":"de O\u00f1a I","year":"2018","journal-title":"J Hand Surg Am"},{"key":"B13","doi-asserted-by":"publisher","first-page":"905","DOI":"10.1097\/PCC.0000000000002551","article-title":"Prioritizing the assessment of patient and family experience in the evaluation of healthcare quality","volume":"21","author":"Maraccini","year":"2020","journal-title":"Pediatr Crit Care Med"},{"key":"B14","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1016\/S0304-3959(97)00005-5","article-title":"The visual analogue pain intensity scale: what is moderate pain in millimetres?","volume":"72","author":"Collins","year":"1997","journal-title":"Pain"},{"key":"B15","doi-asserted-by":"publisher","first-page":"a3006","DOI":"10.1136\/bmj.a3006","article-title":"Reporting and interpretation of SF-36 outcomes in randomised trials: systematic review","volume":"338","author":"Contopoulos-Ioannidis","year":"2009","journal-title":"BMJ"},{"key":"B16","doi-asserted-by":"publisher","first-page":"202","DOI":"10.1046\/j.1524-4733.2000.33005.x","article-title":"SF-36 as a predictor of health states","volume":"3","author":"Reed","year":"2000","journal-title":"Value Health"},{"key":"B17","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1016\/j.hansur.2019.10.198","article-title":"Finger and thumb replantation: from biomechanics to practical surgical applications","volume":"39","author":"Barbato","year":"2020","journal-title":"Hand Surg Rehabil"},{"key":"B18","doi-asserted-by":"publisher","first-page":"363","DOI":"10.1016\/j.main.2013.04.012","article-title":"Finger replantation: surgical technique and indications","volume":"32","author":"Barbary","year":"2013","journal-title":"Chir Main"},{"key":"B19","doi-asserted-by":"publisher","first-page":"235","DOI":"10.1016\/j.hansur.2020.01.007","article-title":"A new technique for metacarpophalangeal joint replantation after four-finger amputation","volume":"39","author":"Tuzun","year":"2020","journal-title":"Hand Surg Rehabil"},{"key":"B20","doi-asserted-by":"publisher","first-page":"1868","DOI":"10.1016\/j.jhsa.2011.09.003","article-title":"Ectopic banking of amputated parts: a clinical review","volume":"36","author":"Higgins","year":"2011","journal-title":"J Hand Surg Am"},{"key":"B21","doi-asserted-by":"publisher","first-page":"546","DOI":"10.1002\/ccr3.2040","article-title":"Usefulness of ectopic implantation in multiple finger amputation injury","volume":"7","author":"Yoshida","year":"2019","journal-title":"Clin Case Rep"},{"key":"B22","doi-asserted-by":"publisher","first-page":"717","DOI":"10.1177\/1753193408091429","article-title":"Temporary ectopic digital implantation: a clinical series of eight digits","volume":"33","author":"Bakhach","year":"2008","journal-title":"J Hand Surg Eur"},{"key":"B23","doi-asserted-by":"publisher","first-page":"458","DOI":"10.1186\/s13018-020-01986-y","article-title":"Cosmetic and functional results of a newly reconstructed thumb by combining the phalanx of second toe and the great toenail flap transplantation","volume":"15","author":"Yin","year":"2020","journal-title":"J Orthop Surg Res"},{"key":"B24","doi-asserted-by":"publisher","first-page":"479","DOI":"10.1186\/s12891-024-07563-2","article-title":"Repair of distal finger soft-tissue defects with free fibular great toe neurovascular flaps","volume":"25","author":"Yu","year":"2024","journal-title":"BMC Musculoskelet Disord"},{"key":"B25","doi-asserted-by":"publisher","first-page":"993","DOI":"10.1016\/j.jhsa.2023.06.011","article-title":"Management of self-inflicted nonaccidental amputations of the upper extremity: systematic review","volume":"48","author":"Retrouvey","year":"2023","journal-title":"J Hand Surg Am"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2024.1488338\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T13:07:27Z","timestamp":1733404047000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2024.1488338\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,5]]},"references-count":25,"alternative-id":["10.3389\/fsurg.2024.1488338"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2024.1488338","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,5]]},"article-number":"1488338"}}