Reconstruction of hypoplastic thumb using hemi-longitudinal metatarsal transfer
The treatment of hypoplastic thumb (modified Blauth’s type IIIb and IV) by pollicization is culturally unfavourable in the Chinese population and digit preservation is preferred. An innovative reconstruction method using a nonvascularized hemi-longitudinal metatarsal graft was performed in six cases...
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| Veröffentlicht in: | The Journal of hand surgery, European volume European volume, 2012-10, Vol.37 (8), p.738-744 |
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| container_title | The Journal of hand surgery, European volume |
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| creator | Chow, C. S. Ho, P. C. Tse, W. L. Hung, L. K. |
| description | The treatment of hypoplastic thumb (modified Blauth’s type IIIb and IV) by pollicization is culturally unfavourable in the Chinese population and digit preservation is preferred. An innovative reconstruction method using a nonvascularized hemi-longitudinal metatarsal graft was performed in six cases with an average follow-up of 87.7 months. Overall hand function was good, as assessed using the Jebsen hand function test. Grip strength and pinch power were significantly weaker than the normal contralateral hand. There was no neurovascular or wound complication. The only donor site complication was a metatarsal fracture, which healed uneventfully with casting. There had been no permanent morbidity to the donor site, as all donor metatarsals hypertrophied and regained normal growth potentials. Linear growth of the transferred metatarsals was evident radiologically (average 1.5 mm/year). Free hemi-longitudinal metatarsal transfer is a feasible method with good functional outcome in the attainment of a 5-digit hand in patients with type IIIb/IV hypoplastic thumb. |
| doi_str_mv | 10.1177/1753193411432677 |
| format | Article |
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S. ; Ho, P. C. ; Tse, W. L. ; Hung, L. K.</creator><creatorcontrib>Chow, C. S. ; Ho, P. C. ; Tse, W. L. ; Hung, L. K.</creatorcontrib><description>The treatment of hypoplastic thumb (modified Blauth’s type IIIb and IV) by pollicization is culturally unfavourable in the Chinese population and digit preservation is preferred. An innovative reconstruction method using a nonvascularized hemi-longitudinal metatarsal graft was performed in six cases with an average follow-up of 87.7 months. Overall hand function was good, as assessed using the Jebsen hand function test. Grip strength and pinch power were significantly weaker than the normal contralateral hand. There was no neurovascular or wound complication. The only donor site complication was a metatarsal fracture, which healed uneventfully with casting. There had been no permanent morbidity to the donor site, as all donor metatarsals hypertrophied and regained normal growth potentials. Linear growth of the transferred metatarsals was evident radiologically (average 1.5 mm/year). 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S.</creatorcontrib><creatorcontrib>Ho, P. C.</creatorcontrib><creatorcontrib>Tse, W. L.</creatorcontrib><creatorcontrib>Hung, L. K.</creatorcontrib><title>Reconstruction of hypoplastic thumb using hemi-longitudinal metatarsal transfer</title><title>The Journal of hand surgery, European volume</title><addtitle>J Hand Surg Eur Vol</addtitle><description>The treatment of hypoplastic thumb (modified Blauth’s type IIIb and IV) by pollicization is culturally unfavourable in the Chinese population and digit preservation is preferred. An innovative reconstruction method using a nonvascularized hemi-longitudinal metatarsal graft was performed in six cases with an average follow-up of 87.7 months. Overall hand function was good, as assessed using the Jebsen hand function test. Grip strength and pinch power were significantly weaker than the normal contralateral hand. There was no neurovascular or wound complication. The only donor site complication was a metatarsal fracture, which healed uneventfully with casting. There had been no permanent morbidity to the donor site, as all donor metatarsals hypertrophied and regained normal growth potentials. Linear growth of the transferred metatarsals was evident radiologically (average 1.5 mm/year). Free hemi-longitudinal metatarsal transfer is a feasible method with good functional outcome in the attainment of a 5-digit hand in patients with type IIIb/IV hypoplastic thumb.</description><subject>Biological and medical sciences</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Hand Deformities - surgery</subject><subject>Hand Strength</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metatarsal Bones - transplantation</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Recovery of Function</subject><subject>Thumb - abnormalities</subject><subject>Treatment Outcome</subject><issn>1753-1934</issn><issn>2043-6289</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMtLxDAQxoMouj7unqQXwUs1SfPYHEV8gSCInkuaTncjbbNm0oP_vVl2VRA8zcD3m29mPkJOGb1kTOsrpmXFTCUYExVXWu-QGaeiKhWfm10yW8vlWj8gh4jvlMq5YWqfHHDONOVCzMjzC7gwYoqTSz6MReiK5ecqrHqLybsiLaehKSb046JYwuDLPowLn6bWj7YvBkg22Yi5TdGO2EE8Jnud7RFOtvWIvN3dvt48lE_P948310-lq5ROJRjtGqCdMbLSVoGQPN-mtABQc3CycVq2zjS8EaaluukYCKVsK7v8dztn1RG52PiuYviYAFM9eHTQ93aEMGHNqJFCKsZ5RukGdTEgRujqVfSDjZ8Zqtcx1n9jzCNnW_epGaD9GfjOLQPnW8Cis32Xv3cefzklOK0YzVy54dAuoH4PU8y54f-LvwD-z4fs</recordid><startdate>20121001</startdate><enddate>20121001</enddate><creator>Chow, C. 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K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reconstruction of hypoplastic thumb using hemi-longitudinal metatarsal transfer</atitle><jtitle>The Journal of hand surgery, European volume</jtitle><addtitle>J Hand Surg Eur Vol</addtitle><date>2012-10-01</date><risdate>2012</risdate><volume>37</volume><issue>8</issue><spage>738</spage><epage>744</epage><pages>738-744</pages><issn>1753-1934</issn><eissn>2043-6289</eissn><abstract>The treatment of hypoplastic thumb (modified Blauth’s type IIIb and IV) by pollicization is culturally unfavourable in the Chinese population and digit preservation is preferred. An innovative reconstruction method using a nonvascularized hemi-longitudinal metatarsal graft was performed in six cases with an average follow-up of 87.7 months. Overall hand function was good, as assessed using the Jebsen hand function test. Grip strength and pinch power were significantly weaker than the normal contralateral hand. 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| subjects | Biological and medical sciences Diseases of the osteoarticular system Female Hand Deformities - surgery Hand Strength Humans Infant Male Medical sciences Metatarsal Bones - transplantation Reconstructive Surgical Procedures - methods Recovery of Function Thumb - abnormalities Treatment Outcome |
| title | Reconstruction of hypoplastic thumb using hemi-longitudinal metatarsal transfer |
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