Opposition Replacement: Illustrated by a New Technique

Abstract

A modification of le Coeur's method of restoring opposition of the thumb is described. An outrigger is built upon the thumb metacarpal to give a suitable direction of force, an enhanced mechanical advantage and an improved appearance.

Get full access to this article

View all access options for this article.

References

BRAND

P. W.

(1952) The Reconstruction of the Hand in Leprosy. Annals of the Royal College of Surgeons of England, 11: 350–361.

BUNNELL

(1924) Reconstructive Surgery Of The Hand. Surgery, Gynecology and Obstetrics, 39: 259–274.

BUNNELL

(1938) Opposition Of The Thumb. Journal of Bone and Joint Surgery, 20: 269–284.

LE COEUR

(1953) Procédé de restauration de l'opposition du Pouce par transplantation sur chevalet. Revue de Chirurgie Orthopédique et réparatrice de l'appareil moteur. 39: 655.

McDOWELL

, and ENNA

C. D.

Surgical Rehabilitation in Leprosy. Baltimore, Williams & Wilkins Company, 1974.

RAMSELAAR

J. M.

Tendon Transfers to Restore Opposition of the Thumb. Baltimore, Williams & Wilkins Company, 1970.

ROWNTREE

(1949) Anomalous Innervation Of The Hand Muscles. Journal of Bone and Joint Surgery, 31B: 505–510.