Reconstruction of finger function in case of joint defects
Introduction Repair of bone defects in the hand is still a challenge despite advancements in hand surgery and improved surgical techniques. However, the main difficulty still lies in restoring the function of the injured segment when the defect affects functionally significant joints including the...
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| Format: | Article |
| Language: | English |
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Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
2025-02-01
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| Series: | Гений oртопедии |
| Subjects: |
| Summary: | Introduction Repair of bone defects in the hand is still a challenge despite advancements in hand surgery
and improved surgical techniques. However, the main difficulty still lies in restoring the function of the injured
segment when the defect affects functionally significant joints including the proximal interphalangeal
and metacarpophalangeal joints of the fingers. Loss of mobility in the joints significantly impairs the physical
capabilities of patients and the quality of life. A reconstructive intervention is primarily aimed at restoration
of the useful range of motion of the involved finger with minimal risks of postoperative complications.
The objective was to evaluate the possibilities with finger function restoration and the effectiveness
of the techniques used to repair defects in the fingers joints based on literature analysis.
Material and methods The original literature search was conducted on key resources including Scientific
Electronic Library (www.elibrary.ru) and the National Library of Medicine (www.pubmed.org), Elseiver, Google
Scholar (2008 to 2024) and using keywords: finger joint defects, bone loss, intra-articular injuries of the fingers,
arthroplasty, small joint replacement, reconstruction of finger joints, joint restoration, metacarpophalangeal
joint, proximal interphalangeal joint, bone graft, joint transplantation, joint transfer, microsurgery, vascular
bone joint transfer. Sixty articles by foreign authors and 11 publications of Russian researchers were selected
for analysis.
Results and discussion With the variety of surgical techniques, there is no universal method for replacing
defects in the finger joints. Along with the high rate of postoperative complications, the lack of an optimal
method requires careful preoperative planning. Reconstructive interventions should be considered as a method
of choice and an alternative to arthrodesis in young, physically active patients. Limited postoperative range
of motion in the reconstructed joint is a challenge in the treatment of patients with this pathology. The choice
of surgical strategy relies on the patient’s compliance for a complex and lengthy rehabilitation in achievement
of a functionally satisfying result.
Conclusion Reconstructive interventions for repair of a bone defect in the joint are practical for increasing
the useful range of motion of the involved finger and improving the physical capabilities of the hand. |
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| ISSN: | 1028-4427 2542-131X |