Objective Features and Aesthetic Outcome of Pollicized Digits Compared With Normal Thumbs

Goldfarb, Charles A.; Deardorff, Valerie; Chia, Ben; Meander, Amy; Manske, Paul R.

doi:10.1016/j.jhsa.2007.05.028

Cited by 34 publications

(17 citation statements)

References 13 publications

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“…The outcome was determined in a variety of ways: the functional assessment was done as proposed by Percival et al (Table 1) [7]. The cosmesis was objectivated with measurement of thumb length, girth and nail size according to Goldfarb et al [8]. The subjective evaluation of function and aspect was done with a patient/parent questionnaire ( Table 2).…”

Section: Discussionmentioning

confidence: 99%

“…Parents satisfaction was high, handling small objects was difficult, the functional dexterity test was slower in operated hands, but the Jebsen hand function test was not different. Goldfarb et al [8] reported an objectivation of the aesthetic outcome of the pollicised index fingers. They found in their series of 26 patients with 31 pollicisations an increased length (90% versus the normal 71% of normal controls) (in our series 96%).…”

Section: Discussionmentioning

confidence: 99%

“…Goldfarb et al [16] and our group [17] studied the normal length of children's thumb. Goldfarb et al [8] demonstrated that most pollicisized index fingers were too long, but this was the length recommended by Buck Gramcko [6]. To aim at the level of the PIP of the middle finger seems not appropriate and a more shortening of the index finger should perhaps be purchased, if this does not compromises function as suggested by Goldfarb et al [8].…”

Section: Discussionmentioning

confidence: 99%

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Outcome of index finger pollicisation

Ceulemans¹,

Degreef²,

Debeer³

et al. 2016

J Hand Microsurg

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Background Pollicisation of the index finger for absence or severe hypoplasia of the thumb has been reported as a good procedure to recreate a new 'thumb' with good cosmesis and acceptable function. The purpose of this study is to evaluate the outcome of our series from different viewpoints. Methods Seventeen patients with 24 involved hands were willing to come back for evaluation. The mean age at operation was 12 months. In 8 hands there was also a radial club hand. Buck Gramcko's technique was used with slight modifications. The mean follow-up time was 53 months (ranging from 6 to 142). The outcome was determined in a variety of ways: the functional assessment, cosmesis (objectivated with measurement of thumb length, girth and nail size) and a subjective evaluation of function and aspect done with a patient/parent questionnaire and a visual analogue score. Results The mean functional score was: one excellent, eleven good, five fair and five poor results. The mean length was 96% the width was 93%, the nail width was 85%. There was no significant different outcome in the syndrome related thumbs versus the isolated cases, unilateral versus bilateral cases. A significant worse outcome was seen for function and subjective evaluation in the radial club hand associated thumbs and for the functional score for the more severe Blauth group. Conclusion The general outcome for non radial club hand associated thumb reconstructions was satisfying. There was good correlation between the different scoring systems.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Outcome of index finger pollicisation

Ceulemans¹,

Degreef²,

Debeer³

et al. 2016

J Hand Microsurg

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show abstract

“…12 Whereas many of these studies mention possible complications of pollicization and the need for additional surgery, this information has not been extensively detailed. 1,10,[13][14][15] Consequently, surgeons may have the impression that the procedure is relatively free of complications and that no secondary surgical procedures are necessary to improve function.…”

mentioning

confidence: 99%

Incidence and Treatment of Complications, Suboptimal Outcomes, and Functional Deficiencies After Pollicization

Goldfarb¹,

Monroe²,

Steffen³

et al. 2009

The Journal of Hand Surgery

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“…Until now, only Asian people, due to cultural and religious differences, chose to preserve a five-digit hand by reconstructing a thumb with a partially rounded fragment of metatarsal bone, because loss of a toe to these patients is also unacceptable [11]. Goldfarb et al 2007. study compared the aesthetic results of pollicization with a normal thumb, putting assessment on the child's parents, a surgeon and a hand therapist.…”

Section: Analysis Of Functional Datamentioning

confidence: 99%

Complex Postoperative Result Evaluation of Congenital Thumb Hypoplasia for the New Thumb Reconstructive Method’s Substantiation. Summary of the Doctoral Thesis

Ozols¹

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Objective Features and Aesthetic Outcome of Pollicized Digits Compared With Normal Thumbs

Cited by 34 publications

References 13 publications

Outcome of index finger pollicisation

Outcome of index finger pollicisation

Incidence and Treatment of Complications, Suboptimal Outcomes, and Functional Deficiencies After Pollicization

Complex Postoperative Result Evaluation of Congenital Thumb Hypoplasia for the New Thumb Reconstructive Method’s Substantiation. Summary of the Doctoral Thesis

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