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

Defining postoperative stability in children with radial polydactyly

“…Applying the criteria of Tada et al (1983), Ogino et al (1996), Hung et al (1996) and Japanese Society for Surgery of the Hand /Horii (Horii et al, 2009) for instability, 12 (Tada), ten (Ogino), ten (Hung) and six (Japanese Society for Surgery of the Hand) thumb MP joints were rated as 'unstable' in Group B (Table 3). When these scores were applied in healthy thumbs (Group A) all 27 were classified as 'unstable' according to Tada's criteria, and 20 according to the criteria of both Ogino et al (1996) and Hung et al (1996).…”

“…When these scores were applied in healthy thumbs (Group A) all 27 were classified as 'unstable' according to Tada's criteria, and 20 according to the criteria of both Ogino et al (1996) and Hung et al (1996). Applying the Japanese Society for Surgery of the Hand score (Horii et al, 2009) three thumbs were classified as unstable.…”

“…The authors received no financial support for the research, authorship, and/or publication of this article. (Tada et al, 1983) Instability N = 27 Instability N = 12 Ogino: MP joint >20° (Ogino et al, 1996) Instability N = 20 Instability N = 10 Hung: MP joint >20° (Hung et al, 1996) Instability N = 20 Instability N = 10 JSSH: MP joint >41° (Horii et al, 2009) Instability N = 3 Instability N = 6 JSSH: Japanese Society for Surgery of the Hand; MP: metacarpophalangeal.…”

On-top and side-to-side plasties for thumb polydactyly

“…Although there are numerous papers in the literature written on the management of thumb polydactyly [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , we could not find any detailed results of the “on-top” plasty. Our first case had detailed functional results with long term follow-up.…”

Polidactilias del pulgar. Tratamiento quirúrgico

“…La técnica de Bilhaut modificada puede adaptarse a los tipos III, IV y V, aunque cuanto más proximal y asimétrica es la duplicación, menor es su indicación. En el tipo III simétrico, Horii et al 43 utilizaron en 15 casos una variante técnica en la que se extirpa el pulgar radial (conservando un colgajo cutáneo), pero preservando la superficie articular radial de la F1, para mantener la estabilidad de la IF, técnica que no hemos utilizado.…”