Name of the Procedure:

Osteotomy; phalanx of finger, each
Common name(s): Finger phalanx osteotomy

Summary

An osteotomy of the phalanx of the finger is a surgical procedure where a bone in the finger is cut and realigned to correct deformities or injuries. This is performed on one finger at a time as necessary.

Purpose

The procedure aims to correct bone deformities, misalignments, or alleviate pain in the finger. It is typically employed to restore proper function and appearance.

Indications

• Fractures that haven't healed correctly
• Bone deformities due to arthritis or other conditions
• Malalignment causing functional issues or pain
• Cosmetic reasons associated with the finger's appearance

Preparation

• Fasting for a certain period before surgery (usually 6-8 hours)
• Adjusting or stopping certain medications as advised by the surgeon
• Pre-operative imaging tests like X-rays or CT scans to plan the surgery

Procedure Description

1. The patient is given local anesthesia to numb the area or general anesthesia.
2. An incision is made over the affected phalanx (finger bone).
3. The surgeon cuts the bone and repositions it to the desired alignment.
4. Fixation devices such as screws, plates, or wires may be used to hold the bone in place.
5. The incision is closed with sutures, and a bandage or splint is applied to protect the surgical site.

Duration

The procedure typically lasts 1 to 2 hours.

Setting

The procedure is performed in an outpatient clinic or a hospital setting, depending on the complexity.

Personnel

• Orthopedic surgeon
• Nurses
• Anesthesiologist (if general anesthesia is used)
• Surgical technician

Risks and Complications

• Infection
• Bleeding
• Nerve damage
• Nonunion or improper healing of the bone
• Stiffness or limited range of motion in the finger
• Allergic reaction to anesthesia

Benefits

• Alleviated pain
• Improved finger function
• Corrected deformities
• Enhanced aesthetic appearance of the finger

Recovery

• Keep the finger elevated and immobile as prescribed.
• Follow a specific regimen for finger exercises to regain movement.
• Pain management with prescribed medications.
• Possible use of a splint or cast for a few weeks.
• Full recovery may take several weeks to months, with follow-up appointments to monitor healing.

Alternatives

• Physical therapy or occupational therapy
• Non-surgical splinting or bracing
• Medications to manage pain and inflammation
• Injection therapies (e.g., corticosteroids)
• Pros and cons: Less invasive, but may not be as effective in correcting certain deformities or advanced issues

Patient Experience

• During the procedure: Little to no pain if under anesthesia, mild discomfort if local anesthesia is used.
• After the procedure: Swelling, mild to moderate pain managed with medications, possible temporary limitations on hand use.
• Pain management includes medications, ice packs, and elevating the hand.

Note: Always consult directly with healthcare professionals for personalized medical advice and treatment plans.