Index Finger Pollicization for Hypoplasia of the Thumb

Mohamed Benchakroun, Rhita Salah, Salim Bouabid


Pollicization of the index finger has been the subject of several publications; it occupies an interesting place in the restoration of the handgrip. Although it is still suffering from some technical insufficiencies, we were able to achieve a pollicization of the index finger on a 54 years old woman. The results were very satisfactory. We report in this work the surgical technique used, with an update on the various existing techniques.


Index, Pollicization, Thumb

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LITTLER JW. The neurovascular pedicle method of digital transposition for reconstruction of the thumb. Plastic and Reconstructive Surgery, 1953, vol. 12, no 5, p. 303-319.

Littler JW. Principles of reconstructive surgery of the hand. In: Converse JM, editor. Reconstructive plastic surgery. Philadelphia: Saunders Company; 1964. p. 1620–4.

GOSSET J. La pollicisation de I'index. J. chir, 1949, vol. 65, p. 403-411.

GOSSET J. et LANGLAIS F. Résultats de la reconstruction du pouce par transposition digitale, dans les mutilations de la main. Monographies du GEM, Paris, Expansion Scientifique Française, 1975.

Hilgenfelt O. Operative Daumen Ersatz. Stuttgart, Fred. Enke Verlag, 1950.

LE TAC R. Reconstruction du pouce ddtruit par pollicisation de l'annulaire ou du V e doigt. Mdrn Acad Chir, 1978, vol. 78.

Brooks D. Reconstruction of the injured hand. In: Wynn Parry CB, editor. Rehabilitation of the hand. 2nd ed., London: Butterworths; 1966. p. 341.

Buck-Gramcko D. Pollicization of the index finger. Method and results in aplasia and hypoplasia of the thumb. J Bone Joint Surg 1971;53A: 1605–17.

ZANCOLLI Eduardo. Transplantation of the index finger in congenital absence of the thumb. JBJS, 1960, vol. 42, no 4, p. 658-660.

MANSKE Paul R. et MCCAROLL JR, H. Relton. Index finger pollicization for a congenitally absent or nonfunctioning thumb. The Journal of hand surgery, 1985, vol. 10, no 5, p. 606-613.

Buck-Gramcko D. Triphalangeal thumb. In: Buck-Gramcko D, editor. Congenital malformations of the hand and forearm. London: Churchill Livingstone; 1966. p. 403–24.

Manske PR, Mccaroll HR, James M. - Type II1A hypoplastic thumb. J. Hand Surg., 1995, 2 0A, 246-253.

FOUCHER G, GAZARIAN A, et PAJARDI G. La chirurgie reconstructive dans les hypoplasies du Pouce type III de Blauth. In : Annales de chirurgie de la main et du membre supérieur. Elsevier Masson, 1999. p. 191-196.

FOUCHER G. et MEDINA J. Chirurgie reconstructive après amputation traumatique du pouce. EMC-Rhumatologie-Orthopédie, 2005, vol. 2, no 5, p. 552-572.

BLAUTH W. Principles of pollicisation with special emphasis on new incision methods. Handchirurgie, 1970, vol. 2, no 3, p. 117-121.

MALEK, Rene et GROSSMAN, JA I. The skin incision in pollicization. The Journal of hand surgery (St. Louis, Mo.), 1985, vol. 10, no 2, p. 305-306.

MANSKE PR, ROTMAN, Mitchell B, et DAILEY Loray A. Long-term functional results after pollicization for the congenitally deficient thumb. The Journal of hand surgery, 1992, vol. 17, no 6, p. 1064-1072.

LISTER GRAHAM. Reconstruction of the hypoplastic thumb. Clinical Orthopaedics and Related Research®, 1985, vol. 195, p. 52-65.

RIORDAN Daniel C. Congenital absence of the radius. JBJS, 1955, vol. 37, no 6, p. 1129-1140.

FOUCHER G. Lésions traumatiques des tendons fléchisseurs. Encyclopédie Médico-Chirurgicale. 2003.

BARTLETT Glenn R, COOMBS Chris J, et JOHNSTONE Bruce R. Primary shortening of the pollicized long flexor tendon in congenital pollicization. The Journal of hand surgery, 2001, vol. 26, no 4, p. 595-598.

Morrison WA, O’Brien B, MacLeod AM. Thumb reconstruction with a free neurovascular wrap-around flap from the big toe. J Hand Surg 1980;5:575–83.



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