title: Triphalangeal thumb with polydactyly: an alternative surgical method.
abstract: Triphalangeal thumb (TPT) is congenital hand anomaly which a thumb consists of three phalanges. Thumb appearance can differ widely; the thumb can be longer than usual or it can be deviated in the radio-ulnar plane. Thumb strength and function can be significantly diminished. The goals of surgical treatment are to reduce the elongated thumb length, establish normal thumb function, maintain a stable joint and improve thumb position if necessary. In general, surgical treatment is performed for improvement of thumb function. The case presented here had a TPT with pre-axial polydactyly. The TPT was well developed but it had no movement at the proximal or distal interphalangeal joints. The rudimentary thumb had a well-developed and functioning interphalangeal (IP) joint. So as an alternative surgical technique we planned to transfer the functioning IP joint of rudimentary thumb to the TPT.
authors.affiliation: Department of Plastic Reconstructive and Aesthetic Surgery, Okmeydani Training and Research Hospital, Şehremini Mah. Günaydın Sok. Köşemsaray Apt. No: 64/4 Fatih, İstanbul, 34104 Turkey.
authors.forename: Muhammed Besir
authors.initials: MB
authors.lastname: Ozturk
authors.affiliation: Department of Plastic Reconstructive and Aesthetic Surgery, Dr. Lutfi Kirdar Kartal Training and Research Hospital, İstanbul, Turkey.
authors.forename: Ersin
authors.initials: E
authors.lastname: Gönüllü
authors.affiliation: Department of Plastic Reconstructive and Aesthetic Surgery, Okmeydani Training and Research Hospital, Şehremini Mah. Günaydın Sok. Köşemsaray Apt. No: 64/4 Fatih, İstanbul, 34104 Turkey.
authors.forename: Ali Rıza
authors.initials: AR
authors.lastname: Oreroğlu
authors.affiliation: Department of Plastic Reconstructive and Aesthetic Surgery, Okmeydani Training and Research Hospital, Şehremini Mah. Günaydın Sok. Köşemsaray Apt. No: 64/4 Fatih, İstanbul, 34104 Turkey.
authors.forename: Ilker
authors.initials: I
authors.lastname: Usçetin
authors.affiliation: Department of Plastic Reconstructive and Aesthetic Surgery, Okmeydani Training and Research Hospital, Şehremini Mah. Günaydın Sok. Köşemsaray Apt. No: 64/4 Fatih, İstanbul, 34104 Turkey.
authors.forename: Salih Onur
authors.initials: SO
authors.lastname: Basat
authors.affiliation: Department of Plastic Reconstructive and Aesthetic Surgery, Okmeydani Training and Research Hospital, Şehremini Mah. Günaydın Sok. Köşemsaray Apt. No: 64/4 Fatih, İstanbul, 34104 Turkey.
authors.forename: I Mithat
authors.initials: IM
authors.lastname: Akan
keywords: Alternative technique; Congenital hand deformity; Triphalangeal thumb; Triphalangeal thumb surgery; Triphalangeal thumb with polydactyly