School of Medicine Publications and Presentations
Document Type
Article
Publication Date
8-29-2025
Abstract
Finger reconstruction in the aftermath of severe trauma poses significant challenges in restorative surgery, particularly when addressing extensive soft tissue damage, comminuted fractures, and simultaneous neurovascular complications. This study presents a case of a patient with a complicated proximal phalangeal fracture who pursued digit salvage.
A 31-year-old Hispanic woman sustained severe injury to her right fifth digit during an all-terrain vehicle (ATV) rollover resulting in an exposed, comminuted fracture of the proximal phalanx with extensive structural and neurovascular compromise. She pursued digit salvage despite a high risk of failure and complication. The patient underwent four operations over a six-month period, including a distal radius corticocancellous autograft placement.
Through multiple surgeries, we were successfully able to salvage the finger, resolve the patient’s pain, and provide her with an aesthetically pleasing, functional result. This illustrates the importance of patient involvement in decision-making every step of the way.
Recommended Citation
Franco, E., Ayas, Z., & Gerold, F. (2025). Staged Reconstruction and Salvage of a Small Finger With a Corticocancellous Distal Radius Autograft: A Case Report. Cureus, 17(8), e91256. https://doi.org/10.7759/cureus.91256
Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.
Publication Title
Cureus
DOI
10.7759/cureus.91256
Academic Level
faculty
Mentor/PI Department
Surgery

Comments
Copyright © 2025, Franco et al.
This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.