Whatever the level of mutilation and finger concerned, carrying out a digital amputation is a significant surgical procedure with functional consequences. We speak of “temporary” amputation when a subsequent reconstruction is planned. This is most often a microsurgical reconstruction by…
Extensor apparatus injuries are too often underestimated, especially in the fingers. Although a cursory clinical examination may give the impression of integrity, it is only a few weeks later that deformity in the digital chain (boutonnière, swan neck, etc.) appears,…
Flexor tendon injuries in the hand are common and surgically challenging. Verdan and Michon sent shock waves through the scientific community in the 1960s when they recommended primary repair, which to this day remains the standard treatment for these injuries.…
Small Finger and Hand Soft Tissue Defects Small soft tissue defects affecting the digits are common. The method of coverage should be carefully selected and based on the following criteria: the topography of the defect, the affected finger, the associated…
The diagnosis of a finger devascularization, single or multiple, should be made upon admission of the patient because it defines the degree of urgency. Revascularization consists of restoring arterial inflow and venous return. It is undertaken once the skeleton has…
With metacarpal and phalangeal skeletal fractures, early mobilization remains the most effective way to counter edema, joint stiffness and tendon-periosteum adhesions. Early mobilization can, however, only be undertaken following reduction and stabilization of the fracture. The average time off work…
The carpometacarpal (CMC) joints of the long fingers have not received the same level of interest as their equivalent in the thumb. Yet they deserve special attention because their only similarity to the trapeziometacarpal (TMC) joint is their anatomic position…
Sprains and dislocations of the fingers are common and mainly concern the proximal interphalangeal (PIP) joints of the long fingers, the metacarpophalangeal (MCP) joint of the thumb, and more rarely the MCP joints of the long fingers. These conditions require…
Injuries of the hand are common and account for 30% of work-related accidents and also a significant percentage of household and leisure accidents. There are 400,000 people with work-related hand injuries every year in France, but evaluating the total number…
The practice of hand surgery requires appropriate instrumentation. The instruments used should be adapted in size to the tissue structures themselves, and the instruments should have an ergonomic handle for precision and comfort. Handles should be short because this surgery…