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Surgical techniques for reconstruction of the hypoplastic thumb.
Journal article

Surgical techniques for reconstruction of the hypoplastic thumb.

  • Mende K 1 Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, Basel University Hospital, Basel, Switzerland.
  • Suurmeijer JA 2 Onze Lieve Vrouwen Gasthuis, Amsterdam, The Netherlands.
  • Tonkin MA 3 Department of Hand and Peripheral Nerve Surgery, Royal North Shore Hospital, Sydney.
  • 2018-08-24
Published in:
  • The Journal of hand surgery, European volume. - 2019
Congenital hypoplastic thumb
classification
surgical reconstruction
Hand Deformities
Humans
Joint Instability
Metacarpophalangeal Joint
Muscle, Skeletal
Orthopedic Procedures
Surgical Flaps
Tendons
Thumb
English The reconstruction of a congenital hypoplastic thumb usually involves release of a tight first web space, metacarpophalangeal joint stabilization, reconstruction of intrinsic muscle function, and extrinsic tendon reconstruction, as appropriate. Numerous surgical options and combinations are available, but the approaches vary among surgeons who work in the field of congenital hand surgery and the empirical evidence that allows for evaluation of the results of techniques is scarce. Both the pre-operative assessment and intra-operative findings of all thumb elements - bone, joints, and soft tissues - should be considered in the surgical decision-making and eventually define the methods of reconstruction. This article summarizes the different reconstructive options.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://sonar.ch/global/documents/93963
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