Cahier des charges en vue d’améliorer l’aspect esthétique et fonctionnel de la pollicisation dans les différences congénitales. Propositions techniques

Loréa, P.; Medina, J. A.; Navarro, Ricardo Dizioli; Foucher, G.

doi:10.1016/j.main.2008.07.013

Cited by 6 publications

(6 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This also suggests that improvements in the surgical technique might improve the inappropriate use of the pinch [ 20 , 21 ]. In this respect, pollicisation with tendon transfers using an abductor digiti minimi or a flexor digiti superficial of the fourth finger have been described to improve the neo thumb opposition [ 22 , 23 ].…”

Section: Discussionmentioning

confidence: 99%

Video-assisted functional assessment of index pollicisation in congenital anomalies

Mas

Ilharreborde

Mallet

et al. 2016

Journal of Children's Orthopaedics

View full text Add to dashboard Cite

PurposeFunctional results of index pollicisation are usually assessed by the clinical score of Percival. This score is based on elementary hand movements and does not reflect the function of the neo thumb in daily life activities. The aim of this study was to develop a new video-assisted scoring system based on daily life activities to assess index pollicisation functional outcomes.MethodsTwenty-two consecutive children, operated between 1998 and 2012, were examined with a mean of 77 months after surgery. The mean age at surgery was 34 months. Post-operative results were evaluated by a new video-assisted 14-point scoring system consisting of seven basic tasks that are frequently used in daily activities. The series of tasks was performed both on the request of the examiner and in real-life conditions with the use of a hidden camera. Each video recording was examined by three different examiners. Each examiner rated the video recordings three times, with an interval of one week between examinations. Inter- and intra-observer agreements were calculated.ResultsInter- and intra-observer agreements were excellent both on request (κ = 0.87 [0.84–0.97] for inter-observer agreement and 0.92 [0.82–0.98] for intra-observer agreement) and on hidden camera (κ = 0.83 [0.78–0.91] for inter-observer agreement and 0.89 [0.83–0.96] for intra-observer agreement). The results were significantly better on request than on hidden camera (p = 0.045). The correlation between the video-assisted scoring system and the Percival score was poor.ConclusionThe video-assisted scoring system is a reliable tool to assess index pollicisation functional outcomes. The scoring system on hidden camera is more representative of the neo thumb use in daily life complex movements.Level of evidenceLevel IV.

show abstract

Section: Discussionmentioning

confidence: 99%

Video-assisted functional assessment of index pollicisation in congenital anomalies

Mas

Ilharreborde

Mallet

et al. 2016

Journal of Children's Orthopaedics

View full text Add to dashboard Cite

show abstract

“…Twelve articles, two textbooks, and one DVD were included in the review, either containing an original description of incisions, or describing an incision pattern with figures and references to the initial author. Five different incisions were identified, and are summarized in Table 1 1–7 and Figures 2 through 6.…”

Section: Resultsmentioning

confidence: 99%

Index Finger Pollicization Incisions for Congenital Thumb Aplasia: Review and Design of an Educational Anatomical Model for Skin Incisions

Delgove

Camuzard

Pérez

et al. 2021

Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

ollicization of the index finger is indicated for surgical correction of Blauth type III, IV, and V congenital thumb hypoplasia. 1 The choice of incision is important because it should satisfy several requirements: a good exposure of the underlying structures resulting in viable skin flaps, a natural aspect of the new thumb, and a supple first web with a wide opening. The scars should be as discreet as possible and have a minimal risk of contraction during long-term follow-up.A variety of skin incisions have been proposed for index pollicization, but to our knowledge, no review summarizes and compares these different approaches. The low number of thumb aplasia cases makes it difficult to easily understand and compare incision sets, for either practical or educational purposes. The aim of this study was to review the different described incisions and to create an anatomical framework to study and compare different incisions in index finger pollicization.

show abstract

“…En 1992, dans une autre série de pollicisations [11] pour la même indication, ils constataient des résultats améliorés, respectivement 31 et 44 %. D'autres séries [15] retrouvent cependant de meilleurs résultats : 55 % dans le serrage du poing, 42 % pour la pince pollicidigitale. La mobilité atteint 50 % de la normale.…”

Section: La Pollicisationunclassified

“…De plus, il a mis en évidence qu'il était très fréquemment nécessaire de réintervenir après pollicisation pour améliorer l'opposition du pouce. Au terme de ces interventions, les meilleures séries retrouvent tout de même un Kapandji à sept [15].…”

Section: La Pollicisationunclassified

See 1 more Smart Citation

Apport d’une technique originale de chirurgie conservatrice dans la prise en charge des hypoplasies du pouce de type IIIb : « l’allongement relatif-stabilisation de la colonne du pouce »

Hu¹,

Gasnier²,

Nen³

et al. 2012

Annales de Chirurgie Plastique Esthétique

View full text Add to dashboard Cite

Cahier des charges en vue d’améliorer l’aspect esthétique et fonctionnel de la pollicisation dans les différences congénitales. Propositions techniques

Cited by 6 publications

References 22 publications

Video-assisted functional assessment of index pollicisation in congenital anomalies

Video-assisted functional assessment of index pollicisation in congenital anomalies

Index Finger Pollicization Incisions for Congenital Thumb Aplasia: Review and Design of an Educational Anatomical Model for Skin Incisions

Apport d’une technique originale de chirurgie conservatrice dans la prise en charge des hypoplasies du pouce de type IIIb : « l’allongement relatif-stabilisation de la colonne du pouce »

Contact Info

Product

Resources

About