Learn about Pollicization Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Pollicization and request assistance for cost estimates or appointments.

About Pollicization

Pollicization is a sophisticated reconstructive hand surgery performed by pediatric orthopedic specialists to create a functional thumb from an existing finger, most commonly the index finger. This procedure is primarily indicated for children born with congenital thumb aplasia or severe hypoplasia, where the thumb is absent or underdeveloped. The surgeon meticulously repositions the chosen finger, transferring its nerves, blood vessels, tendons, and skin to mimic the thumb's position and function. The goal is to restore essential pinch and grasp capabilities, dramatically improving hand function for daily activities. This surgery requires precise microsurgical techniques and is typically performed in early childhood to optimize neural adaptation and functional outcomes, allowing the child to develop more normal bilateral hand use.

Key Highlights

    Restores critical pinch and grasp functions essential for daily activities.Transforms an existing finger into a functional, opposable thumb.Performed in early childhood to maximize brain adaptation and functional learning.Can dramatically improve independence and quality of life.Utilizes the child's own tissue, avoiding issues of rejection.Enhances the cosmetic appearance of the hand./ul

Who is this surgery for?

  • Congenital absence of the thumb (thumb aplasia).
  • Severe underdevelopment of the thumb (thumb hypoplasia, Blauth types IIIB, IV, and V).
  • Traumatic amputation of the thumb where replantation is not possible.
  • Certain tumor resections requiring thumb removal.
  • The goal is to provide a stable, sensate, and opposable post for hand function.

How to prepare

  • Comprehensive evaluation by a pediatric orthopedic surgeon and often a hand therapist.
  • Detailed imaging studies like X-rays and possibly MRI to assess bone and joint structure.
  • Pre-operative counseling for parents and child (age-appropriate) about the process and recovery.
  • Routine pre-surgical blood tests and a physical exam to ensure fitness for anesthesia.
  • Discussion of anesthesia (general) and pain management plans.
  • Instructions on fasting before the surgery.

Risks & possible complications

  • Infection at the surgical site.
  • Bleeding or hematoma formation.
  • Poor wound healing or skin loss.
  • Damage to nerves or blood vessels, potentially affecting sensation or blood supply.
  • Stiffness or limited range of motion in the new thumb or donor finger.
  • Need for additional corrective surgeries in the future.
  • Anesthesia-related risks.
  • Unsatisfactory cosmetic or functional result.

Recovery & hospital stay

  • Hospital stay for initial pain control, monitoring of circulation, and wound care.
  • The hand and arm will be placed in a protective cast or splint for several weeks.
  • Strict elevation of the hand is crucial to reduce swelling in the first days.
  • Pain is managed with prescribed medications.
  • After cast removal, a structured hand therapy program is essential to regain movement, strength, and sensory re-education.
  • Therapy focuses on teaching the brain to use the new thumb and may continue for months.
  • Regular follow-up visits with the surgeon to monitor healing and progress.
  • checked Typical hospital stay: 3-5 days
  • checked Expected recovery time: 6-12 months for full functional adaptation and therapy

Frequently Asked Questions

If you are considering pollicization in India, these questions and answers can help you make a confident, informed decision.

Procedure cost in other countries

Here is an overview of how the estimated cost, hospital stay, and recovery time for pollicization compare across other countries where we have data.

Country Estimated cost range Typical stay Recovery time View details
India INR 150 Thousand – 400 Thousand 3-5 days ~ 6-12 months for full functional adaptation and therapy Know More
Turkey TRY 525 Thousand – 1.4 Million 3-5 days ~ 6-12 months for full functional adaptation and therapy Know More
PATIENT REVIEW

Pooja Miller is a bright and...

Pooja Miller is a bright and artistic 4-year-old from a small town. She was born with a congenital condition called radial longitudinal deficiency, leaving her right thumb essentially non-functional, a small, floppy appendage. Her parents first noticed her frustration when she couldn't hold a crayon properly to draw like her preschool friends. She would try to pinch objects between her index and middle fingers, often dropping them. During a consultation with Dr. Evans, a pediatric orthopedic surgeon, it was explained that Pooja's index finger could be surgically repositioned to act as a new thumb, a procedure called pollicization. This would give her a functional pinch and grasp. The surgery was complex, involving carefully moving bones, nerves, and tendons. After the procedure, Pooja's hand was in a cast for several weeks. With dedicated occupational therapy, she gradually learned to use her new 'thumb.' Within a year, she could hold a pencil, zip her jacket, and build with blocks. Emotionally, Pooja transformed from a shy child who hid her hand to a confident little girl proudly showing off her drawings. Her parents' initial anxiety gave way to immense relief and joy as they watched her gain independence.

Pediatric Orthopedics for Pollicization

Explore experienced pediatric orthopedics who regularly perform pollicization and provide pre- and post-operative care in India.

Dr. Neeraj Gupta
  • 14 Years Experience
  • Pediatric Orthopedics
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Ghaziabad, Ghaziabad

OPD-desk synced • Updated
Dr. Prashanth Inna
  • 23 Years Experience
  • Pediatric Orthopedics
Speaks: English, Hindi
Consult Charge ₹ 850
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Abhishek Nandi
  • 8 Years Experience
  • Pediatric Orthopedics
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mukundapur, Kolkata

OPD-desk synced • Updated