Can Surgery Correct My Finger Joint Deformity After Fracture?

Finger joint fracture

Hello doctor, when I was ten years old, I fractured the joint of my left ring finger.
I have been undergoing rehabilitation since then, but now that I am sixteen, the maximum angle of my finger's flexion is only 90 degrees, and the bone has grown excessively, causing my finger to not close properly.
It looks quite unsightly.
I would like to ask if it is possible to undergo surgery again.
Thank you, doctor.

Ke Ke, 10~19 year old female. Ask Date: 2023/05/29

Dr. Chen Yongxue reply Orthopedics

Hello, fractures of the hand that occur between the metacarpophalangeal joint and the proximal interphalangeal joint often result in deformities or limitations in range of motion as sequelae.
If surgery is performed, patients are often dissatisfied with the prognosis.
If the deformity is not severe enough to significantly impact daily life, please carefully consider the implementation of corrective surgery.
Thank you.

Reply Date: 2023/05/29

More Info

Surgery can indeed be an option to correct finger joint deformities resulting from a previous fracture, especially if the deformity is causing functional limitations or aesthetic concerns. In your case, given that you are now sixteen years old and have been experiencing issues with your left ring finger since the age of ten, it is essential to evaluate the extent of the deformity and the impact it has on your daily life.

Understanding Finger Joint Deformities
Finger joint deformities can arise from various factors, including improper healing of fractures, malalignment, or excessive bone growth. In your situation, it seems that the initial fracture may not have healed correctly, leading to a limited range of motion (only 90 degrees of flexion) and difficulty in fully closing your fingers. This can be both functionally limiting and aesthetically displeasing.

Surgical Options
1. Reconstructive Surgery: If the deformity is significant and affects your ability to use your hand effectively, a reconstructive surgery may be warranted. This could involve realigning the bones, removing excess bone growth, or even fusing joints if necessary. The goal of such surgery would be to restore function and improve the appearance of your finger.

2. Osteotomy: This procedure involves cutting the bone to correct its alignment. If your finger is bent due to malalignment, an osteotomy could help straighten it out.

3. Tendon Release or Repair: If the tendons that control finger movement are tight or scarred, a surgical release may be necessary to improve mobility.

4. Joint Replacement: In severe cases where the joint is significantly damaged, a joint replacement may be considered, although this is less common in younger patients.

Risks and Considerations
As with any surgery, there are risks involved, including:
- Infection: The risk of infection at the surgical site is always a concern.

- Nerve Damage: There is a possibility of nerve injury during surgery, which could lead to numbness or weakness.

- Stiffness: Post-surgical stiffness can occur, and rehabilitation will be crucial to regain motion.

- Recurrence of Deformity: There is a chance that the deformity could return if the underlying issues are not adequately addressed.

Rehabilitation
Post-surgery rehabilitation is critical for achieving the best outcomes. Physical therapy will likely be necessary to help regain strength and flexibility in your finger. The timeline for recovery can vary, but it often takes several months to see significant improvements.

Conclusion
In summary, surgery can potentially correct your finger joint deformity, but it is essential to have a thorough evaluation by an orthopedic surgeon specializing in hand surgery. They will assess your specific situation, including imaging studies like X-rays or MRIs, to determine the best course of action. If surgery is deemed appropriate, a well-structured rehabilitation plan will be crucial for optimizing your recovery and restoring function to your finger. Don't hesitate to seek a second opinion if you're uncertain about the recommendations you receive. Your hand's functionality and appearance are important, and there are options available to help you achieve your goals.

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