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[Pollicization, remains of the past or current operation]
G Foucher1, R Navarro, J Medina
1SOS Main Strasbourg-4 boulevard du président Edwards-67000 Strasbourg France. IFSSH@aol.com
Bulletin De L'Academie Nationale De Medecine
|March 28, 2001
Summary
Pollicization surgery, including microsurgical toe-to-thumb transfers, yields good long-term results for trauma and congenital hand differences. Most patients experienced improved function and appearance, despite complex injuries.
Area of Science:
- Hand surgery
- Microsurgery
- Reconstructive surgery
Context:
- Pollicization is a well-established surgical procedure.
- Microsurgical techniques have expanded its applications.
- Indications include trauma and congenital hand malformations.
Purpose:
- To evaluate the long-term outcomes of pollicization in patients with traumatized and congenitally malformed hands.
- To assess functional recovery, patient satisfaction, and aesthetic results.
Summary:
- A review of 27 patients with pollicized mutilated fingers (mean follow-up 9.5 years) showed good or fair results in 21, despite advanced age and multiple amputations.
- In 27 children with congenital thumb hypoplasia/aplasia, pollicization demonstrated excellent sensibility and growth, with good mobility (61%), though strength averaged 42% of standard.
Impact:
- Pollicization offers a viable solution for restoring thumb function and appearance in complex hand injuries and congenital deformities.
- Long-term follow-up data supports the efficacy of pollicization, highlighting areas for potential improvement, such as hand strength in congenital cases.