Reoperative Phalangeal and Metacarpal Fracture Management

  • Kane L. Anderson
  • Douglas P. HanelEmail author


The phalangeal or metacarpal fracture that has undergone previous surgery but resulted in nonunion, malunion, or posttraumatic arthritis can be particularly challenging. These fingers are usually stiff and sometimes painful to the patient. Besides the bone injury, there are usually soft-tissue problems that complicate the reconstructive efforts. For the PIP and MCP joints, arthroplasty and fusion remain as options for posttraumatic reconstruction. The use of osteotomies can be helpful addressing rotational or angular deformities. Hemi-hamate arthroplasty is a novel and useful technique for salvaging the failed unstable PIP fracture dislocation. Ultimately, if the digit cannot be reconstructed or if the digit becomes chronically stiff and painful, some patients will elect to have amputation as their final surgery to try and restore functionality to the hand and in order to get on with their lives.


Phalangeal Metacarpal Fracture Reoperation Failed Surgery 


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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Section of Hand and Micro Surgery, Department of Orthopaedics and Sports Medicine, Harborview Medical CenterUniversity of WashingtonSeattleUSA

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