Transmetacarpal amputation of the index finger: A clinical ...
A clinical study of hand strength and complications in 41 patients with a transmetacarpal amputation of the index finger found that the average prehension strength was reduced by 20% and stability of grip by almost 50%.
Transmetacarpal amputations and replantation: the importance ...
Three transmetacarpal injuries are described in which the patency of one common digital vessel alone provided blood flow to all fingers. Transverse commissural vessels connect the digital vessels proximal to the proximal and distal interphalangeal joints.
Partial Hand Amputation: Digital and Transmetacarpal ...
Sep 1, 2023 · Combining the right surgical management with therapy and patient specific prosthetic choice can lead to excellent outcomes. This chapter aims to cover these important topics and will provide an evidence-based approach …
Transmetacarpal amputations and replantation: The importance ...
May 1, 1988 · Successful replantation of transmetacarpal amputations may provide a useful hand with a cosmetic result superior to that of an amputation or prosthesis. Russell et al. (1984) reported a 100% success rate in replantation of eight hemi-hands.
Hence, the treatment of choice for an index finger rendered useless by trauma, tumor, or infection is a transmetacarpal amputation. The most common in dication after an injury is loss of sensation combined with interphalangeal joint stiffness.
Efficiency in Digital and Hand Replantation - PMC
Strong indications to replantation include: thumb, multiple digits, transmetacarpal and proximal, and any pediatric amputations whatever the level. For successful replantation, we emphasize the usefulness of two-team approach, bone shortening, tension-free anastomosis, and vein graft.
Thirteen consecutive transmetacarpal replantations and revascularizations in 12 patients were reviewed retrospectively. Ten patients (11 hands) sustained crush injuries, 1withstood an explosive blast, and 1 suffered a guillotine amputation.