gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

Making five fingered hand in Type III B thumb hypoplasia

Meeting Abstract

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  • presenting/speaker Govindasamy Balakrishnan - Right Hospitals, Chennai, India

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-352

doi: 10.3205/19ifssh0753, urn:nbn:de:0183-19ifssh07532

Published: February 6, 2020

© 2020 Balakrishnan.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.


Outline

Text

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.