Toe Phalanx Transfer for Blauth Types III B-C and IV Thumb Hypoplasia

Thumb hypoplasias have been classified by Blauth and Buck-Gramcko. The most severe grades III and IV are best treated with pollicization. However, some families refuse the resulting four-fingers hand. For these cases, have been developed some alternative techniques. The authors have used, in 32 cases, non-vascularized toe phalanges. The results show that the results are acceptable but usually inferior to pollicization. However, the families are mostly satisfied by the results.