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

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