Resumen

PENA MARRERO, Liván et al. Pollicization of the index finger in the traumatic thumb amputation. Rev Cubana Ortop Traumatol [online]. 2002, vol.16, n.1-2, pp.21-27. ISSN 0864-215X.

A prospective study was conducted in 6 patients with traumatic amputation of the thumb that were treated by pollicization. In 2 patients, the amputation occurred at the level of the neck of the first metacarpal; in 1 at the level of the middle third; in 2 at the level of the base; and in 1 by the trapeziometacarpal joint. All the patients were able to perform digital pliers with force 4 ó 5. Some degree of opposition was obtained in 100 % of the patients. Sensibility was maintained in all the fingers undergoing pollicization. A good result was obtained in 66.7 % of the patients, fair in 33.3 %, and bad in none. The only complication was a delayed reduction. The best results were observed in patients that had no damage either of the thenar muscles or of the trapeziometacarpal joint.

Palabras clave : THUMB; AMPUTATION, TRAUMATIC; RECONSTRUCTIVE SURGICAL PROCEDURES; PROSPECTIVE STUDIES.