Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Staged opposition transfer

J A Grossman1, J Pomerance

  • 1Hand and Peripheral Nerve Surgery Unit, Miami Children's Hospital, FL, USA.

The Journal of Hand Surgery
|April 29, 1998
PubMed
Summary
This summary is machine-generated.

This study presents a two-stage opposition transfer technique for severe hand trauma, successfully restoring thumb opposition and function in all six patients. The innovative method significantly improved hand function, offering hope for complex reconstructive surgery.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Minimizing complications in the use of fibrin sealant in aesthetic facial procedures.

Aesthetic surgery journal·2009
Same author

Umbilical cord blood gas casebook. Interpreting umbilical cord blood gases, IX.

Journal of perinatology : official journal of the California Perinatal Association·2002
Same author

Carpal tunnel syndrome due to an intraneural perineurioma in a 2-year-old child.

Journal of hand surgery (Edinburgh, Scotland)·2001
Same author

Facial sensibility testing: a clinical update.

Plastic and reconstructive surgery·2000
Same author

On what P means to me: an encouragement to investigators.

Journal of perinatology : official journal of the California Perinatal Association·2000
Same author

Umbilical cord blood gases casebook. Interpreting umbilical cord blood gases, VII.

Journal of perinatology : official journal of the California Perinatal Association·2000
Same journal

Current Concepts in Perioperative Guidance and Outcomes in Hand Surgery Patients Taking Glucagon-Like Peptide-1 Receptor Agonists.

The Journal of hand surgery·2026
Same journal

Mesenchymal Stem Cell-Derived Exosomes Combined With 3-Dimensional Hyaluronan-Based Scaffold Promote Tendon-to-Bone Tunnel Healing.

The Journal of hand surgery·2026
Same journal

The Diagnosis and Management of Clenched Fist Syndrome.

The Journal of hand surgery·2026
Same journal

Ultrasound-Assisted Thin Posteromedial Thigh Free Flap for Coverage of Hand and Upper-Extremity Wounds.

The Journal of hand surgery·2026
Same journal

Comparison of One- and Two-knot Techniques in Eight-Strand Flexor Tendon Repair Using Looped Sutures: A Biomechanical Study in a Porcine Model.

The Journal of hand surgery·2026
Same journal

Biomechanical Comparison of Metal Versus Suture and Screw Tension Band Technique for Olecranon Fractures.

The Journal of hand surgery·2026
See all related articles

Area of Science:

  • Orthopedics
  • Hand Surgery
  • Reconstructive Surgery

Background:

  • Extensive hand and upper limb trauma can result in significant loss of median nerve and/or thenar muscle function.
  • Severe palmar scarring and loss of thumb opposition (Kapandji stage 3) present considerable challenges in restoring hand function.
  • Previous reconstructive methods may be insufficient for cases with extensive tissue loss and scarring.

Purpose of the Study:

  • To evaluate the efficacy of a two-stage opposition transfer technique for patients with severe hand trauma and loss of thumb opposition.
  • To assess the functional improvement in thumb opposition and overall hand function following the described surgical procedure.

Main Methods:

  • A cohort of six patients with extensive hand trauma underwent a two-stage opposition transfer.

Related Experiment Videos

  • Stage 1 involved the placement of a silicone rod to create a pseudosheath for the future tendon transfer.
  • Stage 2 consisted of passing a donor tendon through the pseudosheath to reconstruct thumb opposition, with a minimum 1-year follow-up.

    • Main Results:

    • All six patients demonstrated significant functional improvement after the two-stage opposition transfer.
    • One patient achieved Kapandji stage 6 opposition, while the remaining five patients reached stage 7 or 8.
    • The technique successfully restored useful thumb opposition in patients with previously debilitating hand function loss.

    Conclusions:

    • The two-stage opposition transfer using a silicone rod pseudosheath is an effective method for restoring thumb opposition in severe hand trauma.
    • This reconstructive approach leads to substantial functional gains and improved quality of life for affected patients.
    • The technique offers a viable solution for complex cases where conventional treatments may fail.