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Metacarpal Joint Arthroplasty in the Acute Setting: A Case Report
Amel Gorani1,2, Aleid C J Ruijs2
1Department of Orthopaedic Surgery, Cliniques Universitaires Saint-LUC, Avenue Hippocrate, 1200 Brussels, Belgium.
Introduction:
Traumatic bone loss at the metacarpal phalangeal joint level can be a challenging clinical situation. Not many cases have been described in the literature for this specific articulation.
Case Report:
Our patient presented with a work-related accident of his hand with loss of the metacarpophalangeal joint of the index finger. After temporary external fixation and wound closure, a prosthetic joint arthroplasty was chosen to allow a reconstruction of his lost joint.
Conclusion:
After traumatic articular bone destruction in the hand, there are several possibilities to reflect on. Taking into consideration the patient's characteristics and the degree of bone loss, implanting a prosthesis can be a safe option with acceptable results.

