Digit transposition; A “spare-part” surgery in a mutilating hand injury

Abstract

A young Male had a RTA, causing loss of whole of middle finger & crushed skin at dorsum of Index metacarpal bone with fracture of Proximal Phalanx of ring finger along with infected Palmar Lacerated wound. He presented it two weeks after the injury. Hand salvaging surgical procedure was done by transporting the index digit to middle finger metacarpal head and fixed with K wires, sacrificing distal two-third of the second nonviable metacarpal bone. Hand appears to be more functionally and esthetically viable along with avoiding multiple different surgeries, contractures, and stiffness of the joints.

Keywords

• amputation
• digit transposition
• infection
• mutilating hand injuries