We have located links that may give you full text access.
Pollicization of the index finger for reconstruction of the congenitally hypoplastic or absent thumb.
Journal of Hand Surgery 1983 November
Between 1962 and 1980, 30 pollicizations of the index finger for congenital absence of the thumb were performed. None of the 30 index fingers were lost during the intraoperative or postoperative period. Of the 14 cases followed up on a long-term basis, six required secondary procedures, three for scar revisions; one, bone shortening; one, tenolysis of flexor tendons; and one, tenolysis of extensor tendons. All new thumbs showed normal sensibility. In four cases opposition was possible with all three residual fingers; in five cases, with the long and the ring finger; and in five cases, with the long finger only. Active motion averaged 42 degrees at the metacarpophalangeal (MP) joint of the new thumb and 35 degrees at the interphalangeal (IP) joint. The technique of pollicization has been modified over the years. Important steps are: correct skin incisions, complete destruction of the growth cartilage of the metacarpal head, fixation of the MP joint in maximum hyperextension, a rotation of 150 degrees, and the reconstruction of a musculotendinous shroud of the new thumb with the extrinsic and intrinsic tendons.
Full text links
Related Resources
Trending Papers
Challenges in Septic Shock: From New Hemodynamics to Blood Purification Therapies.Journal of Personalized Medicine 2024 Februrary 4
Molecular Targets of Novel Therapeutics for Diabetic Kidney Disease: A New Era of Nephroprotection.International Journal of Molecular Sciences 2024 April 4
Perioperative echocardiographic strain analysis: what anesthesiologists should know.Canadian Journal of Anaesthesia 2024 April 11
The 'Ten Commandments' for the 2023 European Society of Cardiology guidelines for the management of endocarditis.European Heart Journal 2024 April 18
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app