Here is a recent surgery on pollicization. This case is interesting to me because the child has a thumb- but it is a really small thumb that is completely unstable (i.e., floppy) and a thumb that she does not use. In the US, most of congenital hand surgeons agree that this thumb is best treated with a pollicization (in Asia, some surgeons will stabilize this thumb). However, this is a tough conversation for the family (it is easier to discuss a pollicization when there is no thumb).
|Hypoplastic thumb Type 3B|
|Second view of a hypoplastic thumb, type 3B|
|Second view of successful pollicization|
|Pollicization position and color of the thumb.|
|Slightly dark thumb after pollicization.|
Charles A. Goldfarb, MD
My Bio at Washington University