{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T18:07:17Z","timestamp":1781806037812,"version":"3.54.5"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"vor","delay-in-days":3529,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2012,9]]},"abstract":"<jats:p>\n          Background  This study was designed to introduce the feasibility of toe tissue transfer without venous outflow for fingertip reconstruction.<\/jats:p><jats:p>\n          Methods  Five cases of fingertip defects were treated successfully with this method. Four cases were traumatic fingertip defects, and one case was a hook-nail deformity. The lateral pulp of a great toe or medioinferior portion of a second toe was used as the donor site. An arterial pedicle was dissected only within the digit and anastomosis was performed within 2 cm around the defect margin. The digital nerve was repaired simultaneously. No additional dissection of the dorsal or volar pulp vein was performed in either the donor or recipient sites. Other surgical procedures were performed following conventional techniques. Postoperative venous congestion was monitored with pulp temperature, color, and degree of tissue oxygen saturation. Venous congestion was decompressed with a needle-puncture method intermittently, but did not require continuous external bleeding for salvage.<\/jats:p><jats:p>\n          Results  Venous congestion was observed in all the flaps, but improved within 3 or 4 days postoperatively. The flap size was from 1.5\u00d71.5 cm2 to 2.0\u00d73.0 cm2. The mean surgical time was 2 hours and 20 minutes. A needle puncture was carried out every 2 hours during the first postoperative day, and then every 4 hours thereafter. The amount of blood loss during each puncture procedure was less than 0.2 mL. In the long-term follow-up, no flap atrophy was observed.<\/jats:p><jats:p>\n          Conclusions  When used properly, the free toe tissue transfer without venous anastomosis method can be a treatment option for small defects on the fingertip area.<\/jats:p>","DOI":"10.5999\/aps.2012.39.5.546","type":"journal-article","created":{"date-parts":[[2012,9,15]],"date-time":"2012-09-15T01:14:24Z","timestamp":1347671664000},"page":"546-550","source":"Crossref","is-referenced-by-count":17,"title":["Fingertip Reconstruction Using Free Toe Tissue Transfer Without Venous Anastomosis"],"prefix":"10.1055","volume":"39","author":[{"given":"Won Young","family":"Yoon","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Byung Il","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,5,1]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1097\/00006534-196810000-00021","article-title":"Successful replantation of a completely cut-off thumb: case report","volume":"42","author":"S Komatsu","year":"1968","journal-title":"Plast Reconstr Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1016\/j.jhsa.2007.01.019","article-title":"Fingertip replantation","volume":"32","author":"Y Hattori","year":"2007","journal-title":"J Hand Surg Am"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1151","DOI":"10.1097\/01.PRS.0000046497.88549.E0","article-title":"Significance of venous anastomosis in fingertip replantation","volume":"111","author":"Y Hattori","year":"2003","journal-title":"Plast Reconstr 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of fingertip replantation: anastomosing only the digital artery","volume":"53","author":"H Matsuzaki","year":"2004","journal-title":"Ann Plast Surg"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"833","DOI":"10.1097\/PRS.0b013e318180ed61","article-title":"Fingertip replantation: determinants of survival","volume":"122","author":"J Li","year":"2008","journal-title":"Plast Reconstr Surg"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"1417","DOI":"10.1016\/j.jhsa.2008.07.001","article-title":"Fingertip reconstruction","volume":"33","author":"KD Bickel","year":"2008","journal-title":"J Hand Surg Am"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1007\/s11552-006-0001-4","article-title":"Fingertip reconstruction with the laterally based thenar flap: indications and long-term functional results","volume":"1","author":"B Rinker","year":"2006","journal-title":"Hand (N 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replantation","volume":"33","author":"X Zhang","year":"2008","journal-title":"J Hand Surg Am"},{"key":"ref15","first-page":"1042","article-title":"The timing of neovascularization in fingertip replantation by external bleeding","volume":"110","author":"SK Han","year":"2002","journal-title":"Plast Reconstr Surg"}],"container-title":["Archives of Plastic 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