Pollicization has been a very successful procedure in the treatment of specific types of hypoplastic thumb. Although much has remained the same since early descriptions of the procedure in the 1800s and 1900s, refinements over the years have made it safer and more predictable. Over the years at our institution we have studied, modified and refined our incisions to produce a new thumb that is aesthetically pleasing with excellent function. We present our technique for pollicization along with pearls and pitfalls we have discovered.
BackeljauwBHollandSKAltayeMLoepkeAW.Cognition and brain structure following early childhood surgery with anesthesia. Pediatrics. 2015,
136: e1–12.
2.
Buck-GramckoD.[Primary management of hand injuries].Chirurg. 1968,
39: 389–92.
3.
BunnellS.Digit transfer by neurovascular pedicle.J Bone Joint Surg Am. 1952,
34 A: 772–4.
4.
BunnellS.Reconstruction of the thumb. Am J Surg. 1958,
95: 168–72.
5.
GohritzADellonALMullerFEVogtPM.Otto Hilgenfeldt (1900–1983): tribute to an important pioneer of European hand surgery. J Hand Surg Eur. 2012,
37: 205–10.
6.
GossetJ.[Pollicization of the index; surgical technique].J Chir (Paris). 1949,
65: 403–11.
7.
GuermonprezF-J-O. Notes sur quelques résections et restaurations du pouce, par le dr fr. Guermonprez, p. Asselin, 1887.
8.
HilgenfeldtO. Operativer Daumenersatz und Beseitigung von Greifstörungen bei Fingerverlusten. Enke Stuttgart, 1950.
9.
IselinMBlanguernonSBenoistD.[First metacarpal base fractures].Mem Acad Chir (Paris). 1956,
82: 771–4.
LittlerJW.On making a thumb: one hundred years of surgical effort. J Hand Surg Am. 1976,
1: 35–51.
12.
LochnerHVOishiSEzakiMMalungpaishropeKMooreRB.The fate of the index metacarpophalangeal joint following pollicization. J Hand Surg Am. 2012,
37: 1672–6.
13.
MalekRDe la CaffiniereJY.Pollicization of the index finger in children. Annales de Chirurgie Plastique. 1971,
16: 198–206.
