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Budiman Budiman
Gladya Utami
T. Fadli Nazwan Sani


Background: Polydactyly is the most common hand congenital abnormality found, next after syndactyly. The presence of these extra fingers is not merely duplication but is accompanied by abnormal hypoplastic structures, abnormal joints, tendon anomalies, and anomly of the insertion of ligaments. There are many tehniques proposed to reconstruct polydactyly, from simple excision of bones, ligaments, and tendons to complex reconstructions. We report a case of polydactily, the patient had bone exicision of the duplicates when the patient was four-month-old, but that extra metacarpal with no phalanges resulted in a greater space of finger 1 and 2.

Patient and Method: A 21-year-old woman complaining of difficulty in grasping because the space between first and second fingers is too far away, and the extra metacarpal bone is protruding that causes snagging and stumbling on other objects. She had a history of surgical removal of polydactyl when she was 4-month-old. The patient has a limitation in hand activities.

Result: Six months after surgery, the patient was satisfied with the results. The fingers has better mobility, good appearance. No more prominent bone, and neuropathic problems, or other disorders were found.

Conclusion: Polydactyly is a common congenital hand occurrence. Understanding the anatomy to guide the reconstructive actions is important. It is not only about which digit would be preserved, but we have to concern about what our patient need, improving the quality,  patient's hand function, and the aesthetic aspect.



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Budiman B, Utami G, Nazwan Sani TF. Reconstruction of Thumb Polydactily: A Case Report. J Plast Rekons [Internet]. 2020Feb.20 [cited 2020Apr.6];6(2):276-80. Available from:
1. Abozaid, S, M, M. A study of a four generation Egyptian family. 2019. 13 (1). 104-105
2. Mumoli, N et al. Left hand polydactyly: a case report. 2008. BioMed Central
3. Terri M. Skirven, A. Lee Osterman, Jane Fedorczyk, Peter C. Amadi. Rehabilitation of the Hand and Upper Extremity. 2011. Vol 2. P 1272, Set E-Book: Expert
4. Cohen MS. Thumb duplication. Hand Clin. 1998;14(1):17-27.
5. TemtamySA,McKusickVA. Polydactyly as a part of syndromes.In:Bergsma D, ed. Mudge JR, Paul NW, Conde Greene S, associate eds. The Genetics of Hand Malformations. New York, NY: Liss. Birth Defects Original Article Series. 1978;14(3):364-439.
6. Graham TJ, Ress AM. Finger polydactyly. Hand Clin. 1998;14(1):49-64.
7. Ahmed H, Akbari H, Emami A, Akbari MR. Genetic Overview of Syndactyly and Polydactyly. Plast Reconstr Surg Glob Open. 2017;5(11):e1549. Published 2017 Nov 2.
8. Van Wyhe RD, Trost JG, Koshy JC, Pederson WC. The Duplicated Thumb: A Review. Semin Plast Surg. 2016;30(4):181–188.
9. Chung M S, Baek G H, Gong H S, Lee H J, Kim J, Rhee S H. Radial polydactyly: proposal for a new classification system based on the 159 duplicated thumbs. J Pediatr Orthop. 2013;33(2):190–196.
10. Tonkin M A. Thumb duplication: concepts and techniques. Clin Orthop Surg. 2012;4(1):1–17.
11. Faust KC, Kimbrough T, Oakes JE, Edmunds JO, Faust DC. Polydactyly of the hand. American Journal of Orthopedics (Belle Mead, N.J.). 2015 May;44(5):E127-34.
12. Melikyan et al., (2003) The functional result of ray amputation. World Scientific. 47-51
13. Littler JW. Tendon transfers and arthrodesis in combined median and ulnar nerve paralysis. J Bone Joint Surg Am 1949;31(2):225–34.
14. Botte MJ. Muscle anatomy. In: Doyle JR, Botte MJ, editors. Surgical anatomy of the hand and upper extremity. Philadelphia: Lippincott Williams & Wilkins; 2003. p. 149–55.
15. Green, David P, and Scott W. Wolfe. Green's Operative Hand Surgery. Philadelphia: Elsevier/Churchill Livingstone, 2011. Print. Pages 1273.
16. Manske MC, Kennedy CD, Huang JI. Classifications in Brief: The Wassel Classification for Radial Polydactyly. Clin Orthop Relat Res. 2017;475(6):1740–1746.