Abstract
A 2-year-old boy with grade 3 hypoplastic thumb (Blauth's classification) underwent reconstruction in two stages. Stage 1 was an abductor digiti quinti musculocutaneous flap, first web space widening, and insertion of a silicone rod to prepare for a flexor pollicis longus transfer. Stage 2 (6 months later) was a vascularized second toe proximal interphalangeal joint transfer for carpometacarpal joint replacement, plus tendon transfers for thumb flexion, extension, and adduction. Three years following the procedures, the thumb had an open physis by x-ray film and was functioning well. Pollicization is the traditional procedure for this degree of thumb hypoplasia, but the two-stage reconstruction is an alternative for patients in cultures where the presence of five fingers is important.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
