Abstract

PENA MARRERO, Liván; LOPEZ DIAZ, Haysell; ALBISU SANTANA, Eduardo  and  VALDEZ DIAZ, Abel. Surgical treatment of thumb hypoplasia. Rev Cubana Ortop Traumatol [online]. 2005, vol.19, n.2, pp. 0-0. ISSN 1561-3100.

The results of the surgical treatment of thumb hypoplasia in 16 patients with varying levels of damage were presented. The patients were operated on at "Frank País" International Scientific Orthopedic Complex from December 2000 to December 2003. At the time of surgery, the mean age was 3,2 years, range 1-8 years. Males were slightly predominant over females. Postoperative follow-up averaged 15,2 months, range 6-36 months. Modified Blauth´s classification was used. All the patients from group II and IIIA underwent reconstruction of their hypoplastic thumb. Index pollicization was performed in all the patients presenting with IIIB, IV and V hypoplasia . Six patients had excellent surgical results, 8 had good results; 4 regular and only one had negative results. 87.5 % of patients with isolated hypoplasia of their thumb exhibited excellent or good results, as compared with 63.6 % of those with thumb hypoplasia associated with ipsilateral radial hemimelia.

Keywords : congenital thumb anomalies; surgical treatment; pollicization.

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