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Journal of Bone and Joint Surgery, 1966;48:1529-1533.
© 1966 by The Journal of Bone and Joint Surgery, Inc

Near Total Transmetacarpal Amputation of the Hand with Survival

REPORT OF A CASE

J. ROY SMITH M.D.1 and JAMES G. SCANLON M.D.1

1 33 Oak Avenue, Worcester, Massachusetts 01605

A case of salvage of the hand of a thirteen-year-old boy after near total, distal, transmetacarpal amputation is presented. Functional return despite a very limited repair was unexpectedly good, including a useful range of motion in all digits and excellent re-establishment of tactile sensibility. Initial surgery included only crude tendon coaptation and mere placement of the severed nerves in end-to-end alignment. All indicis is proprius transfer and realignment of the ulnar digits were done seven years after injury to provide a stable thumb-index pinch and correct ulnar drift.


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