Phalanx transfer to make a two phalanges finger
DOI:
https://doi.org/10.25214/28056272.1489Keywords:
Hand Injuries, Bone Transplantation, ArthrodesisAbstract
The hands are especially vulnerable to traumatic injuries, the fingers being the most frequently injured area, especially in the workplace, which entails serious complications for both the patient and the health system. Several techniques have been postulated in the management of severe injuries to the fingers.
These techniques have the objective of maintaining length and functionality; Under these principles, the best alternatives are sought to achieve that; Thus, the pedicled transfer of the distal phalanx to the middle phalanx position is proposed to make a two phalanges finger.
We present the authors’ clinical and surgical experience with the use of this technique for the management of severe injuries on the middle phalanx of the digits with the objective of maintaining the greatest amount of viable tissue and functionality of the hand. With the described technique, good functional and aesthetic results are observed in the short and medium term, and this option can be considered as a valid technique for the management of lesions at the level of the phalanges in which the distal end is still viable.
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