Reconstruction after traumatic destruction of the finger joints

Miniaturized osteosynthesis still is the best solution for articular injuries, but in case of destruction the indications will depend on several patient-linked factors (age, handedness, profession...) and on the loss of substance. In case of limited loss of substance, Swanson's prosthesis provided an average mobility of 48 degrees at the MP level and 34 degrees at the PIP level. In case of extensive osteoarticular loss, only island or free vascularized articular transfer allow avoiding arthrodesis. The transfers provided mobility exceeding 45 degrees at the MP level and 42 degrees at the PIP level, therefore better values than with free articular toe transfers (35 degrees for the MP joints and 23 degrees for the PIP joints).