=====Pollicization=====

====Take home messages====
  - prefer ring if using non-traumatized digit: web not too wide, tendon tension
  - different ways to deal with webspace
  - any finger possible - little finger least preferred
  - traumatic first

====Thumb needs====
  - Mechanical
    - strategic position
    - length
    - strength
    - stability
  - physiologic
    - motion
    - sensation
    - no pain
    - integration
  - appearance

==== Foucher toe transfer ====
  - skin - dorsal straight, triangular flaps at base
  - tendons - EHB for dorsalis pedis, sacrifice superficialis
  - vessels
    - long
    - take plantar arch
    - work both ends till middle
    - t-for arch recon
    - both dorsal and plantar
    - look for 2nd dorsal metatarsal (25%)
  - veins: superficial, to saphenous, VC
  - nerve - may be disproportionate
  - joint - fix in hyperextension
  - order - bone, tendons, nerve, skin distal, vessels

====Source====
- Allieu, Chammas, Luc Roux
- Chapter 5
- in Foucher, G. (1997). Reconstructive surgery in hand mutilation. Martin Dunitz.

====See also====
  * [[md:pollicization|Pollicization]]