Type IV-D thumb duplication: A new reconstruction method

A new method of finger / thumb reconstruction using composite tissue

This article presents authors’ methods of digital reconstruction using composite tissue transfer. The authors present their approach to achieve the goal of restoring full cosmetic appearance of the reconstructed toes while preserving the function and cosmetic appearance of the donor foot. The reconstructive procedures for each degree of digit defect are discussed in detail, and pitfalls and tec...

Unclassified Bilateral Thumb Duplication

Polydactyly being most common congenital digital anomaly of the hand and needs special consideration. Surgical treatment is warranted in most of the cases because of cosmetic and functional reasons. In this article, we describe a 5-year-old female child who was having bilateral thumb duplication. The diagnosis was clinical, and it does not fit into any mentioned classification systems in litera...

Thumb Duplication: Concepts and Techniques

Within the Oberg, Manske, Tonkin (OMT) classification, thumb duplications are a failure of formation and/or differentiation affecting the radial-ulnar axis of the hand plate. The Wassel description of seven types of thumb duplication provides a good structure from which an approach to management is based. The aim of surgical reconstruction is to obtain a stable, mobile thumb of adequate size an...

Post-traumatic thumb reconstruction.

Many options exist for the management of post-traumatic thumb reconstruction. While the single most important factor for determining the most appropriate procedure is the level of the amputation, many other factors must be considered including patient considerations regarding function and cosmesis as well as the nature of the injury and the expertise of the surgeon. Patients must be included in...

Reconstruction of the thumb.