Reconstructive surgery is indicated for taumatic loss and congenital anomaly of the thumb because total loss of a thumb constiutes about 40% disability in that hand. Reconstruction can be accomplished by a variety pollicization, free toe-to-thumb tranfer, wrap-around procedure, and so on. The choice of technique depends on the level of amputation, damage or loss of adjacent digital and soft tissue, the patient’s age, patient’s occupation and patient’s sex.
We reconstructed 22 traumatic loss of the thumb and I congenital absence of the thumb with osteoplastic reconstruction(10), index finger pollicization(3), greater toe-to-thumb transfer(1), wrap-around pprocedure(4), and free plantar flap with bone graft(5).
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