CC BY-NC-ND 4.0 · Revista Chilena de Ortopedia y Traumatología 2017; 58(03): 095-099
DOI: 10.1055/s-0037-1607287
Original Article | Artículo Original
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Pulgarización del índice en el tratamiento de la hipoplasia de pulgar - técnica quirúrgica

Index Finger Pollicization in the Treatment of Thumb Hypoplasia - Surgical Technique
Manuel Mendez
1   Departamento de Ortopedia, Extremidad Superior, Instituto Teletón Santiago, Chile
2   Departamento Ortopedia, Clínica las Condes, Santiago Chile
,
Elias Concha
1   Departamento de Ortopedia, Extremidad Superior, Instituto Teletón Santiago, Chile
3   Departamento Ortopedia, Clínica Meds, Santiago, Chile
4   Servicio de Traumatología, Hospital Luis Calvo Mackenna, Santiago, Chile
,
Catalina Parot
1   Departamento de Ortopedia, Extremidad Superior, Instituto Teletón Santiago, Chile
4   Servicio de Traumatología, Hospital Luis Calvo Mackenna, Santiago, Chile
,
Marcia Carrasco
1   Departamento de Ortopedia, Extremidad Superior, Instituto Teletón Santiago, Chile
5   Servicio Ortopedia y Cirugía Infantil, Hospital de Carabineros, Santiago, Chile
› Author Affiliations
Further Information

Publication History

22 May 2017

12 September 2017

Publication Date:
06 December 2017 (online)

Resumen

La pulgarización del dedo índice permite reconstruir la pinza de la mano. Fue ampliamente realizada para una reconstrucción de una pérdida de pulgar en condiciones de trauma. Sin embargo, hoy por hoy, es la técnica de elección para las hipoplasias congénitas de pulgar. En los niños permite crear una pinza, especialmente para objetos grandes y entrega una apariencia más normal de la mano. Es una técnica demandante, pero con pasos que están bien definidos y perfeccionados, que al ser realizados de forma cuidadosa, reducen al mínimo sus complicaciones.

Abstract

The pollicization of the index finger allows reconstructing the hand's ability to pinch. It has been broadly used to address traumatic loss of the thumb. However today it is the procedure of choice for severe congenital thumb hypoplasia. It allows children to pinch, particularly large objects, it also gives the hand a more normal appearance. It is a demanding procedure, with a series of technical steps that are well defined and perfected, such that if they are performed in a careful way, complications are minimized.

 
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