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The pollicization of the index finger in the aplasia of the thumb.
[holt-oram syndrome]
We
have
examined
11
patients
with
aplasia
of
the
thumb
and
we
have
treated
by
pollicization
of
the
index
finger
.
We
have
conducted
a
follow
up
of
5
years
.
The
total
absence
of
the
thumb
may
be
an
isolated
anomaly
,
but
it
is
often
associated
with
some
other
congenital
malformation
.
The
absent
thumb
is
as
an
autosomal
dominant
pathology
or
may
be
sporadic
.
It
is
frequently
observed
in
the
Holt-
Oram
syndrome
,
Fanconi
's
anemia
,
and
ring
D
chromosome
abnormalities
.
It
is
occasionally
observed
in
the
Rothmund
syndrome
,
trisomy
,
thalidomide
embryopathology
and
other
congenital
syndromes
.
An
absent
radius
is
almost
always
associated
with
an
absent
thumb
,
except
in
thrombocytopenia
radial
aplasia
(
Fanconi
's
syndrome
)
,
where
the
thumb
is
present
even
when
the
radius
is
absent
.
The
treatment
in
most
cases
of
the
absent
thumb
is
to
perform
a
pollicization
of
the
index
finger
.
Our
isolated
congenital
absence
of
the
thumb
patients
have
been
treated
with
pollicization
as
described
by
Buck
-
Gramcko
works
well
.
It
is
a
beautiful
operation
for
the
congenitally
deformed
,
aplastic
,
or
missing
thumb
.
Pollicization
of
the
index
finger
gives
good
functional
and
cosmetic
results
which
are
maintained
.
The
total
absence
of
the
thumb
in
the
congenitally
pathology
gives
the
hand
of
the
patient
insufficient
in
the
functional
movement
and
no
cosmetic
.
So
the
pollicization
with
the
second
index
fined
gives
a
good
reconstruction
for
the
neo-
thumb
.
In
our
five
years
follow-up
,
the
11
young
patients
that
were
treated
with
the
pollicization
,
they
are
satisfy
and
use
the
neo-
thumb
like
normal
thumb
.
In
congenitally
absent
thumbs
clearly
support
the
fact
that
the
pollicized
digit
is
used
by
most
patients
and
is
not
ignored
or
bypassed
.
Diseases
Validation
Diseases presenting
"an absent thumb"
symptom
holt-oram syndrome
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