[Index finger pollicization for congenitally deficient first finger of the hand in children]. / Pulgarización en los déficits del primer rayo en la mano del niño.
Cir Pediatr
; 14(4): 156-61, 2001 Oct.
Article
en Es
| MEDLINE
| ID: mdl-12601964
Pollicization is a single-stage neurovascular pedicle transfer of the index digit to function as a thumb. The objective of this study is to investigate the results of index finger pollicization for correction of congenital deficiency of the first ray in pediatric hand. We have done 6 pollicizations of index fingers in 6 hands (there were 2 right hands, 2 left hands, and 1 bilaterally) in 5 patients (4 boys and 1 girl) who had absent or nonfunctioning thumbs (type III-V of Blauth's classification). Associated anomalies where numerous and included radial club hand, mirror hand and cardiovascular and urologic anomalies. The average time of Kirschner wire extraction was 32 days (30 to 36 days) and to beginning the hand rehabilitation at 5 degrees to 10 degrees day. The average age at pollicization was 5.5 years (range 2 to 8 years), and follow-up averaged 8 years (5 to 11 years). The cosmetic and functional results were excellent, with manual dexterity of prehension and opposition. Pollicization in children can be performed at least 2 years of age, to due of minor risk of neurovascular lesion but without delayed the cortical representation of the pollicized finger.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Pulgar
/
Dedos
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Idioma:
Es
Revista:
Cir Pediatr
Asunto de la revista:
PEDIATRIA
Año:
2001
Tipo del documento:
Article
Pais de publicación:
España