Alphonsus Chong's Personal Wiki

I started this section as preparation work for a talk at a 2020 ASSH Meeting precourse.

Pollicization

Ivan Matev's chapter in Foucher's book:

1. 50% easy, 80% possible, sometimes 100% in young
2. young - slower (1mm /d) but more lengthening
3. older - more likely bone graft (45-60 days) if no good callus - in situ
4. problems - union, angulation, infection, MCPJ flexion
5. need good skin first
6. can pain nail
7. make sure CMCJ is good, skin at tip is good first, sometimes need to deepen/widen web

1. Bradway, J. K., Malone, J. M., Racy, J., Leal, J. M., & Poole, J. (n.d.). Psychological Adaptation to Amputation: An Overview. 5.
2. Brown, P. W. (1982). Less than ten—Surgeons with amputated fingers. The Journal of Hand Surgery, 7(1), 31–37. https://doi.org/10.1016/S0363-5023(82)80010-5
3. Cheung, K., Hatchell, A., & Thoma, A. (2013). Approach to traumatic hand injuries for primary care physicians. Canadian Family Physician Medecin De Famille Canadien, 59(6), 614–618.
4. Foo, A., & Sebastin, S. J. (2016). Secondary Interventions for Mutilating Hand Injuries. Hand Clinics, 32(4), 555–567. https://doi.org/10.1016/j.hcl.2016.07.006
5. Foucher, G. (1997). Reconstructive surgery in hand mutilation. Martin Dunitz.
6. Giladi, A. M., Ranganathan, K., & Chung, K. C. (2016). Measuring Functional and Patient-Reported Outcomes After Treatment of Mutilating Hand Injuries. Hand Clinics, 32(4), 465–475. https://doi.org/10.1016/j.hcl.2016.06.002
7. Gingras, G., & Lemieux, R. (1956). PSYCHO-SOCIAL AND REHABILITATIVE ASPECTS OF UPPER EXTREMITY AMPUTEES. 75, 5.
8. Graham, D., Bhardwaj, P., & Sabapathy, S. R. (2016). Secondary Thumb Reconstruction in a Mutilated Hand. Hand Clinics, 32(4), 533–547. https://doi.org/10.1016/j.hcl.2016.07.005
9. How to use the ICF: A Practical Manual for using the International CLassification of Functioning, Disability and Health (ICF). (2013). WHO.
10. Krueger, C. A., Wenke, J. C., Cho, M. S., & Hsu, J. R. (2014). Common Factors and Outcome in Late Upper Extremity Amputations After Military Injury: Journal of Orthopaedic Trauma, 28(4), 227–231. https://doi.org/10.1097/BOT.0b013e3182a665f5
11. Swiontkowksi, M. F. (2011a). Traumatic and Trauma-Related Amputations: Part I: General Principles and Lower-Extremity Amputations. Yearbook of Orthopedics, 2011, 55–57. https://doi.org/10.1016/j.yort.2011.04.016
12. Yu, J.-C., Shieh, S.-J., Lee, J.-W., Hsu, H.-Y., & Chiu, H.-Y. (2003). Secondary procedures following digital replantation and revascularisation. British Journal of Plastic Surgery, 56(2), 125–128. https://doi.org/10.1016/S0007-1226(03)00033-X