Construction of One Good Thumb From Both Parts of a Congenitally Bifid Thumb

Hartrampf, Carl R.; Vásconez, Luis O.; Mathes, Steven

doi:10.1097/00006534-197407001-00004

Cited by 28 publications

(17 citation statements)

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“…11,17 He recommended narrowing the proximal phalanx by excision. However, exploring the IP joint revealed that the IP joint of the retained thumb was often narrow and had poor joint congruity.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction for Wassel Type III Radial Polydactyly With Two Digits Equal in Size

Horii¹,

Hattori²,

Koh³

et al. 2009

The Journal of Hand Surgery

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Section: Discussionmentioning

confidence: 99%

Reconstruction for Wassel Type III Radial Polydactyly With Two Digits Equal in Size

Horii¹,

Hattori²,

Koh³

et al. 2009

The Journal of Hand Surgery

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“…Initially used for treatment of duplications of the distal phalanx ( Fig. 1), this method was later applied to duplications also involving the proximal phalanx [2,3].…”

Section: Introductionmentioning

confidence: 99%

The “Bilhaut-Cloquet” Technique for Treatment of Thumb Duplication

Samson

Salazard²,

Magalon³

2004

Handchir Mikrochir plast Chir

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The presentation of thumb duplication is variable depending on the level of bifurcation, the relative sizes of the two thumbs and their possible symmetry along a longitudinal axis. Resection of the supernumerary thumb often leads to disappointing results when both thumbs are hypoplastic. The principle of the "Bilhaut-Cloquet" procedure involves central resection of the duplication followed by fusion of the remaining lateral portions, in order to obtain a thumb of satisfactory volume. Thirteen children with unilateral thumb duplication were treated using the "Bilhaut-Cloquet" procedure. Nine cases involved duplication of the distal phalanx (Wassel type II). Five of these duplications were symmetrical and four were asymmetrical with an associated proximal delta phalanx. In these cases, a corrective osteotomy of the delta phalanx was performed at the same time. Four cases involved symmetrical duplications of both proximal and distal phalanges (Wassel type IV). The mean age at time of surgery was 11.5 months. Patients were reviewed with a mean follow-up of four years. The aesthetic aspect of the nail was judged as good in 12 cases. In one case, the aesthetic aspect of the nail was judged as fair due to a prominent longitudinal ridge. Bony fusion was obtained in all cases but one. The alignment was corrected in all cases but four, involving asymmetrical duplications. Joint mobility was limited in all patients. The "Bilhaut-Cloquet" technique leads to a satisfactory volume of the thumb in selected cases. Good correction of preoperative angular deformity is obtained in symmetrical cases. A precise technique of bone and nail approximation yields good functional and aesthetic results. The "Bilhaut-Cloquet" technique is indicated in balanced and symmetrical duplications, when the two thumbs are severely hypoplastic. It can be used either in the distal or proximal phalangeal types of thumb duplication.

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“…If only resection of the radial thumb is to be carried out, the remaining thumb will deviate at the MPJ toward the ulnar side because of the lack of abduction force. As many authors have mentioned, it is not the simple presence of excess tissue, but, rather, the anatomical abnormality, malalignment, and hypoplasia that cause problems [9,11,13,[31][32][33][34]. The range of motion is restricted by hypoplasia or deformity of the joint, hypoplasia or abnormal insertion of a tendon, and/or scarring.…”

Section: Discussionmentioning

confidence: 99%

Bifid thumb type IV in children: Transferring an epiphyseal segment of the proximal phalanx with insertion of the abductor pollicis brevis tendon

Hưng

2010

Journal of Children's Orthopaedics

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We recommend the use of an epiphyseal segment of the proximal phalanx with insertion of the abductor pollicis brevis tendon into the radial side of the epiphyseal proximal phalanx of the ulnar thumb and to restore anatomical insertion of the abductor pollicis brevis muscle. The technique is simple, safe, and effective for thumb abductor function in the treatment of bifid thumb type IV in children.

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Construction of One Good Thumb From Both Parts of a Congenitally Bifid Thumb

Cited by 28 publications

References 0 publications

Reconstruction for Wassel Type III Radial Polydactyly With Two Digits Equal in Size

Reconstruction for Wassel Type III Radial Polydactyly With Two Digits Equal in Size

The “Bilhaut-Cloquet” Technique for Treatment of Thumb Duplication

Bifid thumb type IV in children: Transferring an epiphyseal segment of the proximal phalanx with insertion of the abductor pollicis brevis tendon

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