An On-Top-Plasty Reconstruction for Complicated Radial Polydactyly

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Reconstruction of Wassel Type VI Radial Polydactyly with Triphalangeal Thumb Using an On-top Osteotomy

BACKGROUND The purpose of this study was to present a novel surgical technique using an on-top osteotomy and to assess the clinical and radiographic outcomes for the triphalangeal Wassel type VI thumb duplication patients. METHODS The surgical technique involves ablation of the radial thumb at distal one-third of the metacarpal, corresponding metacarpal osteotomy of the ulnar thumb, with amal...

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Pedicled on-top plasty for thumb reconstruction: utilization of proximal phalanx of an injured ring finger.

Thumb has a critical role in the hand function. It is the most important digit for pinching and grasping. Therefore, thumb amputation demands its replantation or reconstruction to restore the hand functions. A case of hand injury which involved multiple digits along with amputation of thumb is reported. The thumb had amputation level just distal to Metacarpophalangeal joint (MPj) along with amp...

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

INTRODUCTION "On-top" and "side-to-side" plasties are techniques used for treating thumb duplications in which one thumb is adequate proximally and the other thumb contains a better pulp and nail distally. The detailed functional results of these techniques have not been reported in the literature. We report on two cases. PRESENTATION OF CASES The first case had Wassel type VI duplication. Th...

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Anterior cruciate ligament reconstruction by over-the-top repair combined with popliteus tendon plasty.

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Thumb polydactyly: clinical outcome after reconstruction.

PURPOSE To evaluate clinical and cosmetic outcomes of reconstruction in thumb polydactyly and prognostic value of the Wassel classification. METHODS Between 1993 and 2000 inclusive, out of the patients with thumb polydactyly (involving 80 thumbs) operated on, 34 patients (36 thumbs) were available for review and underwent clinical and radiological assessment. Outcomes in terms of the Tada sco...

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ژورنال

عنوان ژورنال: HAND

سال: 2018

ISSN: 1558-9447,1558-9455

DOI: 10.1177/1558944717753205