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2017, Number 5

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Rev Sanid Milit Mex 2017; 71 (5)

Pollicization in a patient with right thumb hypoplasia and contralateral amelia

García RR, Morales YHA, López SFA, Nares RJA, Caballero PU

Language: Spanish
References: 15
Page: 468-472
PDF size: 375.55 Kb.


ABSTRACT

Absence of the thumb diminishes de function of the hand in a 40%. The pollicization procedure is the gold standard in treatment in these patients; it involves forming a thumb with the finger most proximal to it. We present the case of a 2-year-old girl with transversal deficit of left arm with a type IV hypoplasia of the right thumb. A pollicization of the index finger was realized, in the postoperative follow up she had complete passive range of movements of the thumb, six months postsurgery she had M4 active movement. The pollicization procedure provides good sensitivity, range of movement, and esthetic results, besides having less morbidity in the donor site. Even tough it is a high-risk procedure, most of the times satisfactory results are obtained.


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