Distal Interphalangeal Joint - Disarticulation
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Distal Interphalangeal Joint - Disarticulation

This Distal Interphalangeal Joint – Disarticulation course will teach you:

  • To remove all of the tissue of the finger trough the distal interphalangeal joint that is damaged by trauma or is diseased by insufficient blood supply, ongoing infection or malignancy  Closure after amputation should result in proper bone coverage and a pain free, functional stump.

Special attention is paid to the following hazards you may encounter during the Distal Interphalangeal Joint – Disarticulation:

  • Nail remnants irritation

With the following tips you might perform the Distal Interphalangeal Joint – Disarticulation even better:

  • Palmar skin for stump coverage
  • Hammerhead deformity prevention
  • Skin flap vascularization
  • Excision of avital tissue
  • Cartilage removal considerations
  • Prevention of pain due to neuroma formation
  • Sensory branch preservation
  • Artery transection
  • Knots positioning at dorsal side of wound
  • Proximal extension of amputation in case of avital skin
  • Palmar VY flap or Homodigital island flap

After studying the Distal Interphalangeal Joint – Disarticulation you are familiar with the most common complications:

  • Ischemia
  • Symptomatic neuroma formation
  • Joint contracture adjacent finger
  • Phantom pain
  • Cold intolerance
  • Lumbrical plus finger

You might also be interested in:

Proximal Phalanx – Midshaft Amputation

Step by step

Distal phalanx exposure

Distal interphalangeal joint

Identify

Identify the distal interphalangeal joint and determine the level of amputation depending on the location of the injury or pathology, as well as the viability of the tissue.

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