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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2020, Number 1

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An Med Asoc Med Hosp ABC 2020; 65 (1)

Reconstruction of the proximal interphalangeal joint of the fifth digit with an osteoarticular and tendinous autograft from toe

Farías CE, Vargas ZC, Arroyo BC, Vega ALA

Language: Spanish
References: 13
Page: 72-78
PDF size: 1588.30 Kb.


ABSTRACT

Traumatic injuries involving the proximal interphalangeal joint of the fingers are common. Occasionally, they are accompanied by complications such as chronic pain, stiffness and/or arthritis. These complications may impair function severely. When this occurs, secondary procedures may be necessary to improve function, especially when the articular surface is involved. We present a clinical case of posttraumatic arthritis after a complex intra-articular fracture of the proximal interphalangeal joint of the small finger of the dominant hand, treated with a non-vascularized autologous osteoarticular and tendinous graft from the left third toe. The patient was evaluated with detailed medical history, physical examination and imaging studies. Follow-up to 18 months after surgery. One year and a half after the surgery the graft is completely healed, without signs of chondronecrosis. The patient has restricted range of motion; however, the finger is functional and the satisfaction after the procedure is high. The donor site has recovered and shows no morbidity. In young patients, with joint injuries, when other reconstructive options are not suitable, autologous graft may provide long durability and low morbidity.


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