Pollicisation of the index finger in congenital anomalies. A retrospective analysis.
Between 1977 and 1988, 30 pollicisations were performed on 22 children with hypoplasia or aplasia of the thumb. A review was undertaken to grade the results. 73% were graded good or excellent, 17% fair and ten % poor. 36% required secondary surgery to achieve a satisfactory result. Better results were obtained in Blauth III or IV deformities, with poorer outcomes in Blauth V or patients with associated radial hypoplasia. Good functional and cosmetic results were found in patients operated upon at an early age. The presence of previously unreported bony spikes was a significant cause of poor mobility and was amenable to secondary surgery.
Sykes
P J
PJ
Welsh Regional Plastic Surgery Centre, St. Lawrence Hospital, Chepstow, Gwent.
Chandraprakasam
T
T
Percival
N J
NJ
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D009068:Movement; D011859:Radiography; D012086:Reoperation; D012189:Retrospective Studies; D013933:Thumb / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*