Thumb reconstruction.

Experience in 161 thumb reconstructions are reported. The results of pollicizations are evaluated according to function, cosmesis, and two-point discrimination. Of 49 pollicization, 32 were considered excellent, 10 very good, 5 good, and 2 fairly good. In the 16 wrap-around procedures, all showed a very good (less than 6 mm) or good (6 to 12 mm) two point discrimination. Similar results were seen after toe-to-hand transfers when careful nerve repair had been performed.