ArticlePlastic and reconstructive surgery. Global open2025
Clinical Effects of Distal Phalanges and Nail Bed Fusion in Type III Thumb Duplication.
Article in Plastic and reconstructive surgery. Global open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: This study aimed to investigate the clinical effects of bone fusion distal to the phalangeal epiphyseal plate in treating asymmetrical type III thumb polydactyly, focusing on growth and scar healing. Methods: In patients with asymmetrical type III thumb syndactyly, the proximal phalanx of the accessory finger, distal epiphyseal plate, and some soft tissue were excised to create a pedicled tissue flap. This flap, containing part of the nail and bone distal to the epiphyseal plate, was subsequently attached to the distal segment of the main finger. The therapeutic effect was evaluated during follow-up. Results: Ten children (6 boys and 4 girls) were included, with follow-up periods ranging from 24 to 60 months. All parents expressed satisfaction with the appearance and function of reconstructed thumbs. All reconstructed thumbs utilizing pedicled composite tissue flaps survived without arteriovenous crises, and there were no instances of perioperative mortality or wound infection. Compared with the contralateral normal thumb, most reconstructed thumbs exhibited good alignment and similar length and circumference. The reconstructed nails demonstrated a smooth surface with an appropriate curvature of the nail margin. The interphalangeal (IP) joint remained stable, and no instability of the IP joint collateral ligament was observed. The active and passive ranges of motion of the IP joint were satisfactory, and the epiphyseal plate of the reconstructed thumb was well-developed. Conclusions: This method is considerably effective in reconstructing asymmetrical type III thumb duplication through fusion of bone distal to the phalangeal epiphyseal plate.
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Registered trials
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