Index finger pollicization for treating a congenitally nonfunctioning thumb in patients with radial longitudinal deficiency

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dc.contributor.authorKömürcü, Mahmut
dc.contributor.authorYüce, Serdar
dc.contributor.authorYavuz, Osman Yüksel
dc.contributor.authorUraş, Ismail
dc.contributor.authorUygun, Murat
dc.contributor.authorKürklü, Mustafa
dc.date.accessioned2025-10-24T18:06:53Z
dc.date.available2025-10-24T18:06:53Z
dc.date.issued2014
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractRadial longitudinal deficiency (radial club hand) is a congenital deformity in the upper extremity that can present with a range of thumb deficiencies. A variety of surgical procedures to correct for absence of a thumb have been described, such as pollicization, osteoplastic reconstruction, toe to hand transfer, and extension with distraction. We have reviewed 8 index finger pollicizations in 6 patients after correction of the radial club hand deformity through wrist centralization. Four hands used were the dominant hand. Buck-Gramcko’s technique was used with a mean age of 4.6 (range from 2 to 14) years. The mean follow-up time was 6 (range from 2 to 10) years. The mean active range of motion at the pollicized digit was 121.4 (range from 83 to 150) degrees. The result was considered excellent in 5 cases (62.5%), good in 2 cases (25%), and fair in 1 case (12.5%) in accordance with Percival’s scoring system; none of the outcomes were poor. The younger patients adapted easier. Index finger pollicization is a method that provides dramatic improvement to hand function in thumb aplasia or severe hypoplasia, which may be preferred in treatment. The operations improved hand cosmetic appearance and functional ability. © 2017 Elsevier B.V., All rights reserved.
dc.identifier.endpage181
dc.identifier.issn1309-3886
dc.identifier.issn1301-0883
dc.identifier.issue4
dc.identifier.scopus2-s2.0-85013083659
dc.identifier.scopusqualityQ4
dc.identifier.startpage175
dc.identifier.urihttps://hdl.handle.net/20.500.12899/3259
dc.identifier.volume19
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherYuzuncu Yil Universitesi Tip Fakultesi Eastern Journal of Medicine Van 65100
dc.relation.ispartofEastern Journal of Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzScopus_20251023
dc.subjectNonfunctioning thumb
dc.subjectPollicization
dc.subjectRadial longitudinal deficiency
dc.titleIndex finger pollicization for treating a congenitally nonfunctioning thumb in patients with radial longitudinal deficiency
dc.typeArticle

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