Author/Authors :
Alberto NAkAmoto, Hugo Hospital Menino Jesus, São Paulo, SP, Brazil , rAmos, Frederico FAleiro Institute of Orthopedics and Traumatology - Hospital das Clinicas (HCFMUSP) - Faculdade de Medicina - Universidade de São Paulo, São Paulo, SP, Brazil , goNçAlves, reiNAldo borges Institute of Orthopedics and Traumatology - Hospital das Clinicas (HCFMUSP) - Faculdade de Medicina - Universidade de São Paulo, São Paulo, SP, Brazil , goldeNberg, dov cHArles Hospital Menino Jesus, São Paulo, SP, Brazil , gemperli, rolF Plastic Surgery Division - Hospital das Clinicas (HCFMUSP) - Faculdade de Medicina - Universidade de São Paulo, São Paulo, SP, Brazil
Abstract :
Objective: To evaluate postoperative epidemiological and function-
al factors in patients operated to treat duplicate thumb. Methods:
This retrospective case series evaluated 20 patients (23 thumbs)
treated from January 2012 to December 2016 at our service.
Epidemiological and clinical factors were studied, including Tada
score. Results: Of the 34 children who were treated surgically,
only 20 appeared for the functional evaluation and were included
in the study. Of the operated cases, 60% were Wassel type 4.
All evaluated cases had good functional results (Tada score ≥5,
mean score: 6.65). The most frequently used surgical technique
was resection of the radial thumb with reconstruction of the radial
collateral ligament (47.8% of cases). Conclusion: Surgical correc-
tion of duplicated thumb yields good results, as long as attention
is paid to abnormalities in bones, ligaments, and tendons. Level
of Evidence IV; Case series.
Keywords :
Thumb/abnormalities , Thumb/pathology , Thumb/phys- iopathology , Thumb/surgery , Classification , Follow-up studies
