Analysis of functional outcome after posttraumatic thumb reconstruction in comparison to nonreconstructed amputated thumbs at the proximal phalanx of the thumb ray: a mid-term follow-up with special attention to the Manchester-modified M2 DASH questionnaire and effect size of Cohen's d.

Background: Pollicization, toe to thumb transfer, and osteoplastic thumb reconstruction, along with free tissue transfer, are the most reported reconstructive procedures after traumatic amputation at the proximal and middle third of the thumb. We will present our clinical studies on functional outcomes with special attention to the M2 DASH questionnaire and effect size of Cohen's d.

Methods: Eleven patients (2 women and 9 men) with posttraumatic thumb reconstruction (three pollicizations of the index or index stump, four free lateral arm osteocutaneous neurosensory flaps, and four microvascular second toe to thumb transfers), performed during the period 2000 to 2007, were reexamined after 4.

Long-term subjective and functional evaluation after thumb replantation with special attention to the Quick DASH questionnaire and a specially designed trauma score called modified Mayo score.

Background: Several authors have reported overall survival rates after thumb replantation; however, to date, only few studies have been concerned with functional outcome after thumb replantation, with assessment of range of motion, grip strength, and additional functional tests (Quick DASH and modified Mayo score). We chose to design and execute a study to evaluate the functional and subjective results after thumb replantation.

Methods: A total of 34 patients (3 women and 31 men) with replanted thumbs returned for additional testing that consisted of an interview using the Quick DASH questionnaire and physical examinations including objective measurements of hand strength, range of motion, and sensibility.