Complications After Finger Fracture Surgery: A Patient's Journey - Orthopedics

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Fracture surgery issues


Hello Doctor, on August 29, 2023, I suffered an open fracture of my third and fourth fingers at work and underwent emergency surgery immediately.
Two steel pins were inserted into the proximal phalanx of the third finger, and one steel pin was inserted into the proximal phalanx of the fourth finger.
After the surgery, I went home.
Due to the distance from the hospital, I followed up at a large hospital near my home.
An X-ray showed that the fracture was healing well, and I was cleared to have the pins removed and start rehabilitation.
However, after two months of rehabilitation, my third finger still cannot straighten.
I returned to the nearby large hospital to consult a doctor, who discovered that the tendon of the third finger had ruptured and recommended a self-funded surgery to repair it.
Is this an issue with the initial surgeon? The surgeon had only mentioned that the bones would heal and the tendons would gradually reconnect on their own.
Does this constitute medical negligence, considering that four months have already passed?

Mr. Jiang, 30~39 year old female. Ask Date: 2023/12/31

Dr. Shen Boquan reply Orthopedics


Hello, after a finger fracture, rehabilitation typically takes several months.
If other physicians have identified additional issues and recommend further surgery, you may consult with another doctor if you have concerns.
Some hospitals have specialized hand surgery departments within their orthopedic or plastic surgery divisions for consultation.
Wishing you good health, Shen Bo-Chuan.

Reply Date: 2023/12/31

More Info


Understanding complications after finger fracture surgery can be a complex journey, especially when dealing with open fractures and subsequent surgical interventions. In your case, you experienced an open fracture of the third and fourth fingers, which required immediate surgical intervention. The insertion of pins and sutures is a common practice to stabilize the bones and facilitate healing. However, complications can arise, and it’s essential to understand the potential outcomes and responsibilities of the medical team involved.

Firstly, it's important to clarify what an open fracture entails. An open fracture occurs when the bone is exposed through the skin, which increases the risk of infection and complicates the healing process. Surgical intervention typically involves cleaning the wound, stabilizing the fracture, and sometimes repairing any damaged soft tissue, including tendons. In your situation, the fact that you had pins inserted suggests that the surgical team aimed to provide adequate stabilization for the healing process.

After surgery, the expectation is that the bones will heal properly, and the tendons will regain their function. However, as you noted, you experienced difficulty in straightening your third finger even after two months of rehabilitation. This is where complications can arise. The fact that a tendon was found to be ruptured indicates that there may have been an oversight during the initial surgery or that the injury was more complex than initially assessed.

Regarding your concerns about whether this constitutes medical negligence, it’s a nuanced issue. Medical negligence typically involves a failure to provide the standard of care that a competent medical professional would offer under similar circumstances. If the surgical team did not adequately assess the condition of the tendons during the initial surgery or failed to inform you about the potential for tendon injury, this could be grounds for questioning the quality of care you received. However, it’s also possible that the tendon injury was not apparent at the time of the first surgery and only became evident later as you began rehabilitation.

In terms of your recovery, it’s crucial to follow the recommendations of your healthcare providers. If a second surgery is necessary to repair the tendon, it’s essential to weigh the risks and benefits of that procedure. Rehabilitation after tendon repair can be extensive, and it may take time to regain full function of your finger.

Additionally, it’s important to maintain open communication with your healthcare team. If you have concerns about the care you received or the outcomes of your surgeries, discussing these with your physician or seeking a second opinion can provide clarity and reassurance. It’s also advisable to document your experiences and any communications with your healthcare providers, as this information may be useful if you decide to pursue any formal complaints or legal action regarding your care.

In conclusion, while complications after finger fracture surgery can be distressing, understanding the nature of your injury, the surgical interventions performed, and the potential for recovery is crucial. Engaging with your healthcare team and advocating for your health will be key as you navigate this challenging situation. Remember, recovery can be a gradual process, and addressing complications early can lead to better outcomes in the long run.

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