Name of the Procedure:

Reconstruction of the Collateral Ligament at the Interphalangeal Joint (Single Joint), Including Graft

Summary

This surgical procedure involves repairing a damaged collateral ligament in the interphalangeal joint (typically in a finger or toe) using a graft to restore normal function and stability to the joint.

Purpose

The procedure addresses joint instability and pain due to collateral ligament injury, often from trauma or chronic stress. The goal is to restore stability, improve joint function, and alleviate pain.

Indications

• Joint instability or laxity
• Persistent pain in the interphalangeal joint
• Difficulty in joint movement or use
• History of trauma or injury to the joint
• Chronic ligament wear and tear

Preparation

• Pre-procedure fasting if general anesthesia is used
• Adjustment of medications as advised by the doctor
• Preoperative physical examination and imaging tests (X-ray, MRI)
• Blood tests to assess general health

Procedure Description

1. The patient is given either local or general anesthesia.
2. An incision is made over the affected interphalangeal joint.
3. The damaged collateral ligament is identified and assessed.
4. A graft (taken from another tendon or a synthetic material) is prepared.
5. The graft is anchored to the bone on either side of the joint to reconstruct the ligament.
6. The incision is closed with sutures, and a sterile bandage is applied.

Tools: Scalpel, surgical drapes, graft materials, sutures, and possibly surgical screws or anchors.

Duration

Approximately 45 minutes to 1.5 hours, depending on the complexity of the case.

Setting

The procedure is typically performed in a hospital or an outpatient surgical center.

Personnel

• Orthopedic or hand surgeon
• Surgical nurses
• Anesthesiologist or nurse anesthetist (if general anesthesia is used)

Risks and Complications

• Infection at the surgical site
• Bleeding or hematoma formation
• Nerve damage
• Adverse reactions to anesthesia
• Scar tissue formation
• Graft failure or rejection

Benefits

• Restored joint stability
• Improved joint function
• Pain relief
• Enhanced ability to perform daily activities

Benefits might be realized within a few weeks to months post-procedure, depending on individual recovery.

Recovery

• Elevation and immobilization of the affected joint initially
• Pain management with medications
• Gradual return to movement with physical therapy
• Avoid heavy lifting or strenuous activities with the affected joint
• Follow-up appointments to monitor healing and progress

Alternatives

• Non-surgical treatments: physical therapy, bracing, or splinting
• Other surgical options: tendon transfer or joint fusion

Pros and cons:

• Non-surgical methods have lower risk but may not be as effective in severe cases.
• Other surgical options might have different recovery times and outcomes.

Patient Experience

During: The patient will generally be under anesthesia and will not experience pain during the procedure. After: Post-surgical pain and swelling are managed with medications. There may be temporary discomfort from immobilization devices, and physical therapy is crucial for optimal recovery.