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Ray centralization without bone fixation for amputation of the middle finger
Journal of Hand Surgery (Edinburgh, Scotland)
|February 1, 1988
Summary
Middle finger amputation in twelve patients was successfully managed by removing the entire ray and approximating adjacent fingers. This innovative surgical approach restored full hand function and appearance.
Area of Science:
- Hand surgery
- Orthopedic surgery
- Reconstructive surgery
Background:
- Amputation of the middle finger presents a significant challenge in hand reconstruction.
- Preserving hand function and aesthetics after ray resection is crucial for patient outcomes.
Purpose of the Study:
- To evaluate a surgical technique for middle finger ray amputation.
- To assess functional and aesthetic results following index to ring finger soft-tissue approximation.
Main Methods:
- Resection of the entire middle finger ray, including a portion of the capitate.
- Soft-tissue approximation between the index and ring fingers to close the defect.
Main Results:
- All twelve patients achieved full range of motion in the affected hand.
- Patients reported satisfactory cosmetic and functional outcomes post-surgery.
Conclusions:
- This surgical method for middle finger ray amputation is effective.
- The technique successfully restores hand function and appearance after complex amputations.