Affordable Access

[A comparative study of metacarpal resection and translocation after amputation of the middle finger].

Authors
  • Van Overstraeten, L
  • Foucher, G
Type
Published Article
Journal
Annales de chirurgie de la main et du membre supérieur : organe officiel des sociétés de chirurgie de la main = Annals of hand and upper limb surgery
Publication Date
Jan 01, 1995
Volume
14
Issue
2
Pages
74–83
Identifiers
PMID: 7786677
Source
Medline
License
Unknown

Abstract

The authors studied 43 patients having sustained an amputation of one middle finger treated either by simple ray resection or translocation. The index-middle translocation was followed by more minor postoperative complications compared to all other techniques. A global score, taking into account daily activities, cosmetic result lack of mobility, residual pain, decreased strength, time off work, and return to work gave 131 points for simple third ray resection compare to index middle translocation (-252 points). Surprisingly, reduction of hand span on X ray study was minimal but strength was not correlated and translocation gave better strength, and therefore appears to be more appropriate for manual workers. For ring amputation, the score was definitely better for Leviet translocation with intracarpal osteotomy (143 points versus -36 for simple ray resection). However, the only drawback is more frequent (but minor) residual pain.

Report this publication

Statistics

Seen <100 times