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Article
July 1950

ELONGATION AND DIGITIZATION OF FIRST METACARPAL FOR RESTORATION OF FUNCTION OF HAND

Author Affiliations

SANTA BARBARA, CALIF.; ST. LOUIS; BOSTON

Arch Surg. 1950;61(1):17-22. doi:10.1001/archsurg.1950.01250020020003
Abstract

THE PURPOSE of this communication is to present a method of restoring grasp and pinch after the loss of all digits. A hand without digits has lost its three major functions, i. e., those of grasp, pinch and forming a hook, as in carrying a bucket or similar object. It will act only as a paddle to hold objects in place. Fortunately, sensation in the palm gives many more possibilities than a prosthesis. Theoretically, a prosthesis might give more power in the ability to grasp, pinch or lift and might be better if it were not for the presence of sensation in the palm. Most authorities feel that the sensation is 50 per cent of the function of the hand. Sensation must ever be present in the mind of the surgeon in attempting to reconstruct a substitute for the hand. The method is useful for congenitally deformed hands (case 4)

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