Long-term functional results after pollicization for the congenitally deficient thumb

Apport d’une technique originale de chirurgie conservatrice dans la prise en charge des hypoplasies du pouce de type IIIb : « l’allongement relatif-stabilisation de la colonne du pouce »

“…Pourtant, les études ayant fourni des résultats fonctionnels des pollicisations pour hypoplasies du pouce sont peu nombreuses [8,9,[11][12][13]. Beaucoup d'auteurs ont d'ailleurs souligné la difficulté de juger les résultats dans une population infantile.…”

“…En 1992, dans une autre série de pollicisations [11] pour la même indication, ils constataient des résultats améliorés, respectivement 31 et 44 %. D'autres séries [15] retrouvent cependant de meilleurs résultats : 55 % dans le serrage du poing, 42 % pour la pince pollicidigitale.…”

Do Patient- and Parent-reported Outcomes Measures for Children With Congenital Hand Differences Capture WHO-ICF Domains?

“…Many large series have reported substantial improvement in objective outcomes after surgery for CHD [29,36,48,53,54,[61][62][63]. However, the ultimate measure of success depends on more than the traditional measures of strength, sensibility, ROM, and time to task completion [1,65].…”

Incidence and Treatment of Complications, Suboptimal Outcomes, and Functional Deficiencies After Pollicization

“…Several retrospective studies have demonstrated that pollicization improves both the function and appearance of the hand. [1][2][3][4][5][6][7][8][9][10] However, the procedure is technically challenging and carries potential complications and risks. Furthermore, the anatomy surrounding the deficient thumb is also abnormal, which may compromise function of the pollicized digit, necessitating subsequent surgical intervention to maximize function and/or appearance.…”

“…Most previous reports focus on the technical details of the pollicization procedure, 1-3,7,10,11 the functional outcome (i.e., pinch and grip strength), [1][2][3][4][5][6][7][8][9] or the aesthetic outcome. 12 Whereas many of these studies mention possible complications of pollicization and the need for additional surgery, this information has not been extensively detailed.…”