Metacarpal Joint Arthroplasty in the Acute Setting: A Case Report

INTRODUCTION: Traumatic bone loss at the metacarpal phalangeal joint level can be a challenging clinical situation. Not many cases have been described in the literature for this specific articulation. CASE REPORT: Our patient presented with a work-related accident of his hand with loss of the metacarpophalangeal joint of the index finger. After temporary external fixation and wound closure, a prosthetic joint arthroplasty was chosen to allow a reconstruction of his lost joint. CONCLUSION: After traumatic articular bone destruction in the hand, there are several possibilities to reflect on. Taking into consideration the patient’s characteristics and the degree of bone loss, implanting a prosthesis can be a safe option with acceptable results.