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Thumb reconstruction

G A Brunelli1, G R Brunelli

  • 1Department of Orthopaedics, University of Brescia Medical School, Italy.

Bulletin (Hospital for Joint Diseases (New York, N.Y.))
|January 1, 1996
PubMed
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Thumb reconstruction using pollicization and wrap-around procedures yields excellent functional and cosmetic outcomes. Careful nerve repair in toe-to-hand transfers also ensures good two-point discrimination, restoring hand function.

Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Microsurgery

Background:

  • Thumb reconstruction is crucial for restoring hand function and aesthetics.
  • Various surgical techniques exist, each with specific indications and outcomes.

Purpose of the Study:

  • To evaluate the functional and cosmetic results of thumb reconstruction techniques.
  • To assess the two-point discrimination outcomes following different reconstruction methods.

Main Methods:

  • Review of 161 thumb reconstruction cases.
  • Evaluation of pollicization, wrap-around procedures, and toe-to-hand transfers.
  • Assessment based on function, cosmesis, and two-point discrimination.

Main Results:

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  • Pollicization: 32 excellent, 10 very good, 5 good, 2 fairly good outcomes.
  • Wrap-around procedures: All cases achieved very good or good two-point discrimination.
  • Toe-to-hand transfers: Successful outcomes reported with careful nerve repair.

    • Conclusions:

    • Pollicization and wrap-around procedures are effective for thumb reconstruction.
    • Toe-to-hand transfers provide good results, emphasizing the importance of nerve repair.
    • These techniques significantly improve hand function and cosmesis.