|Hand with absent thumb before surgery|
|Palm view of hand with absent thumb before surgery|
We performed surgery to create the thumb using the index finger- the pollicization procedure.
|After pollicization surgery. Note the index finger has been reconstructed into a thumb.|
|After pollicization surgery.|
Here is the child only 6 weeks after surgery. Note that the child is using the thumb but not quite "normally." He tends to use the two fingers first with the thumb as an assist. Dad has noticed that he is progressively using the thumb more and more. It will be fun to watch him learn to incorporate the thumb into all activities- his use pattern will change during the next 3-6 months. It is tough to video kids this young, maybe on his next visit I can obtain and then share.
|Early after pollicization, using the thumb to help the next to finges.|
|Another picture 6- weeks after pollicization. He is using his left hand but differently from his normal right hand. This will change over time.|
My Bio at Washington University