Microsurgical Reconstruction for Complex Thumb Duplication

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...

Outcome of reconstruction for duplication of the thumb in adults aged over 40.

Congenital duplication of the thumb is usually reconstructed by 18 months of age. This paper reports satisfactory outcome following reconstruction of two Wassel Type IV duplicate thumbs in adults aged over 40. Both achieved a good outcome based on Tada's criteria and a subjective Visual analogue score 8.

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.