Unfavourable results in pollicisation
Pollicisation of the index finger is perhaps one of the most complex and most rewarding operations in hand and plastic surgery. It however has a steep learning curve and demands very high skill levels and experience. There are multiple pitfalls and each can result in an unfavourable result. In essen...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2013-01-01
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| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.ijps.org/article.asp?issn=0970-0358;year=2013;volume=46;issue=2;spage=303;epage=311;aulast=Thatte |
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| _version_ | 1850246766531706880 |
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| author | Mukund R Thatte Sushil Nehete Kirti Garude Rujuta Mehta |
| author_facet | Mukund R Thatte Sushil Nehete Kirti Garude Rujuta Mehta |
| author_sort | Mukund R Thatte |
| collection | DOAJ |
| description | Pollicisation of the index finger is perhaps one of the most complex and most rewarding operations in hand and plastic surgery. It however has a steep learning curve and demands very high skill levels and experience. There are multiple pitfalls and each can result in an unfavourable result. In essence we need to: Shorten the Index, recreate the carpo metacarpal joint from the metacarpo phalangeal (MP) joint, rotate the digit by about 120° for pulp to pulp pinch, palmarly abduct by 40-50° to get a new first web gap, Shorten and readjust the tension of the extensors, re attach the intrinsics to form a thenar eminence capable of positioning the new thumb in various functional positions and finally close the flaps forming a new skin envelope. The author has performed over 75 pollicisations personally and has personal experience of some of the issues raised there. The steps mentioned therefore are an algorithm for helping the uninitiated into these choppy waters. |
| format | Article |
| id | doaj-art-1b09049d040d47c3a2ca0298e3020ea1 |
| institution | OA Journals |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-1b09049d040d47c3a2ca0298e3020ea12025-08-20T01:59:05ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2013-01-0146230331110.4103/0970-0358.118609Unfavourable results in pollicisationMukund R ThatteSushil NeheteKirti GarudeRujuta MehtaPollicisation of the index finger is perhaps one of the most complex and most rewarding operations in hand and plastic surgery. It however has a steep learning curve and demands very high skill levels and experience. There are multiple pitfalls and each can result in an unfavourable result. In essence we need to: Shorten the Index, recreate the carpo metacarpal joint from the metacarpo phalangeal (MP) joint, rotate the digit by about 120° for pulp to pulp pinch, palmarly abduct by 40-50° to get a new first web gap, Shorten and readjust the tension of the extensors, re attach the intrinsics to form a thenar eminence capable of positioning the new thumb in various functional positions and finally close the flaps forming a new skin envelope. The author has performed over 75 pollicisations personally and has personal experience of some of the issues raised there. The steps mentioned therefore are an algorithm for helping the uninitiated into these choppy waters.http://www.ijps.org/article.asp?issn=0970-0358;year=2013;volume=46;issue=2;spage=303;epage=311;aulast=ThatteOperative stepspollicisationunfavourable results |
| spellingShingle | Mukund R Thatte Sushil Nehete Kirti Garude Rujuta Mehta Unfavourable results in pollicisation Indian Journal of Plastic Surgery Operative steps pollicisation unfavourable results |
| title | Unfavourable results in pollicisation |
| title_full | Unfavourable results in pollicisation |
| title_fullStr | Unfavourable results in pollicisation |
| title_full_unstemmed | Unfavourable results in pollicisation |
| title_short | Unfavourable results in pollicisation |
| title_sort | unfavourable results in pollicisation |
| topic | Operative steps pollicisation unfavourable results |
| url | http://www.ijps.org/article.asp?issn=0970-0358;year=2013;volume=46;issue=2;spage=303;epage=311;aulast=Thatte |
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