Pollicization Surgery

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Contact the Hand and Orthopedic Upper Extremity Program

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Pollicization surgery is performed when your child has no thumb or when the thumb hypoplasia is more severe. The operation involves creating a functional thumb by transferring another finger (usually the index) to the thumb position.

•   This may seem drastic because an index finger is being sacrificed. However, since thumb function is crucial to
    overall hand function, having a three-fingered hand with a thumb will enable your child to have considerably
    better hand function than a four-fingered hand with no thumb. 

•   Surgeons and parents sometimes find that a hand with one thumb and three fingers can actually be quite acceptable
    in appearance. This operation has an excellent track record and its results are reliable. In cases where the index finger
    is normal and functional, a very good thumb results. 

•   The decision to undergo this procedure depends heavily on the condition of your child's index finger. If the index finger
    cannot move independently or has other problems, your child's doctor may not recommend pollicization.

We are grateful to have been ranked #1 on U.S. News & World Report's list of the best children's hospitals in the nation for the third year in a row, an honor we could not have achieved without the patients and families who inspire us to do our very best for them. Thanks to you, Boston Children's is a place where we can write the greatest children's stories ever told.”
- Sandra L. Fenwick, President and CEO

Boston Children's Hospital
300 Longwood Avenue, Boston, MA 02115
For Patients: 617-355-6000
For Referring Providers: 844-BCH-PEDS | 844-224-7337