AI Article Synopsis
- A surgical procedure can stabilize an unstable finger by fusing it with an adjacent healthy finger, using a graft between their bases and applying an external fixator for support.
- This method is particularly useful for cases involving recurrence of giant cell tumors or trauma leading to metacarpal loss and is favored over ray amputation.
- Long-term follow-up of a patient treated for a giant cell tumor showed excellent finger function with no complications like donor site issues or graft absorption.
Article Abstract
A finger rendered unstable due to loss of metacarpal head can be stabilized by creating a synostosis at the base of the proximal phalanx of the affected finger with the adjacent normal finger. A cortico cancellous graft bridges the two adjacent proximal phalanges at their bases which are temporarily stabilized with an external fixator. The procedure can be done for, recurrence of giant cell tumor of metacarpal and for traumatic metacarpal loss. The procedure and long term follow up of one patient is presented who had giant cell tumor. This option should be considered before offering ray amputation. There is no micro vascular surgery involved, nor is there any donor site morbidity. The graft heals well without any absorption. The affected finger shows excellent function in the long term followup.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5122267 | PMC |
| http://dx.doi.org/10.4103/0019-5413.193471 | DOI Listing |
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