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Surgical Fixation of a Triphalangeal Thumb

March 01, 2020

Contributors: Yaroslav Basyuk, MD; Alice Chu, MD, FAAOS; Daniel Coban; Andrew Anthony Dobitsch, BA; Ashok Para

Keywords: Deformities

This video demonstrates surgical fixation in a young patient who was born with a triphalangeal thumb and rudimentary pre-axial polydactyly. Triphalangeal thumbs are rare. In the patient presented in this video, the distal portion of the middle phalanx and the proximal portion of the distal phalanx are resected. A Kirschner wire is used to fuse the proximal portion of the middle phalanx and the distal portion of the distal phalanx to create a normal-appearing thumb with two phalanges.

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