Can Surgery Correct a Deformed Finger Years After a Fracture?

Can a finger fracture that occurred many years ago be surgically corrected?

Hello doctor, my right hand's little finger was fractured when I was a child while playing basketball due to a fall.
At that time, I did not receive timely treatment and let it heal on its own.
Now, after more than a decade, my hand can move normally, flexing and extending without any issues.
However, it has become severely deformed, with a significant protrusion at the joint between the first and second phalanges, which affects my appearance and makes me feel very self-conscious.
I would like to know if it is still possible to correct this through surgery after so many years.
Additionally, could you provide an estimate of the costs involved? Thank you.

Lin, 20~29 year old female. Ask Date: 2019/03/16

Dr. Shi Guozheng reply Orthopedics

Surgical methods can be used for correction, but it requires evaluation by a physician.
It is recommended that you consult a specialist in hand surgery for treatment, which is usually covered by health insurance.

Reply Date: 2019/03/16

More Info

Yes, surgery can potentially correct a deformed finger even years after a fracture, but the feasibility and effectiveness of such a procedure depend on several factors, including the extent of the deformity, the specific anatomical changes that have occurred, and the overall health of the patient.
In your case, where the right little finger has developed a significant deformity over the years, it is essential to consult with a hand surgeon who specializes in orthopedic or plastic surgery. They will conduct a thorough evaluation, which may include physical examinations and imaging studies like X-rays, to assess the alignment of the bones and the condition of the surrounding soft tissues.

Surgical options may include osteotomy (cutting and realigning the bone), arthrodesis (joint fusion), or even reconstructive procedures if there are significant soft tissue or joint issues. The goal of these surgeries is not only to improve the appearance of the finger but also to restore function and alleviate any discomfort that may arise from the deformity.

Regarding costs, the expenses associated with hand surgery can vary widely based on several factors, including the complexity of the procedure, the surgeon's fees, the facility where the surgery is performed, and whether you have insurance coverage. In the United States, the total cost for hand surgery can range from a few thousand to tens of thousands of dollars. If you have health insurance, it is advisable to check with your provider about coverage for the procedure, as many insurance plans cover medically necessary surgeries, especially if the deformity affects your daily life or causes pain.

It is also important to consider the potential risks and complications associated with surgery. These may include infection, nerve damage, stiffness, or failure to achieve the desired cosmetic and functional outcomes. A thorough discussion with your surgeon about these risks, as well as the expected recovery process, is crucial before making a decision.

In summary, while surgery can correct a deformed finger years after a fracture, it requires careful evaluation by a qualified specialist. The costs can vary significantly, and insurance coverage may help mitigate some of the expenses. Ultimately, the decision to proceed with surgery should be based on a comprehensive understanding of the potential benefits and risks involved.

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