Artikel
Making five fingered hand in Type III B thumb hypoplasia
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Veröffentlicht: | 6. Februar 2020 |
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Objectives/Interrogation: Pollicisation remains the gold standard of thumb reconstruction in Type III. IV & V thumb hypoplasia worldwide. Due to cultural differences, Asian parents prefer to have a five fingered hand in Type III B thumb hypoplasia.
Methods: To satisfy these parents, we have developed a novel method to reconstruct the existing hypoplastic digit. A free toe phalangeal bone from third or fourth toe is used to reconstruct the thumb metacarpal in the first stage and a opponensplasty using abductor digiti minimi is performed in the second stage to provide opposition.
Results and Conclusions: We are presenting the technique of thumb reconstruction in Type IIIB thumb hypoplasia and discuss the functional results of our reconstructive procedure and future options.