The Role of Selective Soft Tissue Pollicization for Thumb and First Web Reconstruction – A Case Report

Document Type : CASE REPORT

Authors

1 Department of Plastic, Hand & Reconstructive surgery, Klinikum Bremen-Mitte, Göttingen University of medical Science, Bremen, Germany

2 Department of Orthopedics, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran

3 Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

4 Plastic and Hand surgery, Aesthetic and Reconstructive Surgery, University Witten Herdecke, Germany

10.22038/abjs.2024.81591.3718

Abstract

Hand injuries from firecrackers require precise repair, especially when the thumb is involved due to its 
crucial role in grasping, pinching, and daily activities. In this study, we evaluate the outcomes of 
selective soft tissue pollicization in a patient who sustained fireworks injuries, including multiple 
wounds, amputations with bone exposure, digital nerve transections, and extensive soft tissue damage 
across several fingers. Numerous methods exist to achieve optimal results, each with benefits and 
downsides. Through comprehensive assessment and meticulous surgical technique, we present the 
therapeutic management of a case that necessitated a selective approach to reconstruction, with 
focusing on preserving neurovascular bundles and tendons. Post-surgery, the patient regained full 
sensation and functional movement in the first metacarpophalangeal and interphalangeal joints, closely 
mirroring a normal thumb, enabling effective grasping, pinching, and opposition movements for daily 
tasks.

Keywords

Main Subjects

References

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The Archives of Bone and Joint Surgery
Volume 13, Issue 4
April 2025
Pages 233-236

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History

  • Receive Date: 04 August 2024
  • Revise Date: 03 October 2024
  • Accept Date: 10 October 2024

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