Thumb reconstruction in the burned hand by advancement pollicization of the second ray remnant

Reconstruction of 15 thumbs in 14 patients with severe postburn deformity has been carried out by advancement and transferral of the second ray remnant onto the remaining proximal thumb metacarpal stump. This technique combines the advantages of thumb lengthening and pollicization procedures in a single operation and has been a useful method for restoration of single hand prehension in the severely burned mitten hand.