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Photos .

François Guermonprez, surgeon of Lille realized on April 11th, 1885 the transposition of major one damaged by an accident of carding machine to reconstruct the thumb amputated during the same accident. The concept of pollicisation had been born, but it will still remain little applied up to the Second World War, because the created neo-thumb was not always sensitive, mobile and the first corner remained too narrow.



The decisive stages will be situated between 1943 and 1952 where three surgeons are going to bring decisive technical refinements which will make of the pollicisation the most successful intervention of reconstruction of the thumb.



The German O. Hilgenfeldt in 1943 recommended the pollicisation of the major from an experiment demonstrating that all the long fingers were pollicisables.



The Frenchman J. Gosset describes in 1949 the pollicisation of the index by proposing a cutaneous section assuring the reconstruction of the first corner by a fragment palmaire base. Later, in 1964, according to the experience of

Le Tac, he will recommend the ring finger.



The American J.W. Littler, in 1953 brings an additional freedom in the realization of the pollicisation of the index by applying him the principles of the neurovascular fragment in island. The pollicisé finger is so released from any cutaneous tie.