Opposition of the Thumb and Its Restoration

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Abstract
The restoration of opposition is feasible by means of several operative approaches. Among them the Thompson procedure offers a relatively simple yet effective method. If failure occurs it can seldom be attributed to a fault of the particular method employed; it is much more often caused by the selection of an inadequate motor tendon or its insertion under insufficient tension. Residual power and function of the hand and the relationship of the hand to the extremity as a whole must be carefully appraised before attempting to restore opposition of the thumb. If contracture of the thumb has occurred, this deformity should be corrected prior to (or at the time of) tendon transfer. The restoration of opposition of the thumb in children should not be delayed because of age or skeletal immaturity.

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