Pulgarización del índice en la amputación traumática del pulgar

a prospective study was conducted in 6 patients with traumatic amputation of the thumb that were treated by pollicization. in 2 patients, the amputation occurred at the level of the neck of the first metacarpal; in 1 at the level of the middle third; in 2 at the level of the base; and in 1 by the trapeziometacarpal joint. all the patients were able to perform digital pliers with force 4 ó 5. some degree of opposition was obtained in 100 % of the patients. sensibility was maintained in all the fingers undergoing pollicization. a good result was obtained in 66.7 % of the patients, fair in 33.3 %, and bad in none. the only complication was a delayed reduction. the best results were observed in patients that had no damage either of the thenar muscles or of the trapeziometacarpal joint.