Primary Vs Secondary Bunnel Procedure Essay

Primary versus secondary Bunnel procedure for the management of mutilating ring finger injuries. (Running title: Bunnel procedure for mutilated ring finger)

Ahmed F Sadek 1*; M.D., Ezzat H Fouly2; M.D., Mohammed Y Hassan3; M.D.

1: Consultant orthopaedic surgeon, Orthopaedic surgery department, hand and microsurgery unit, El Minia University Hospital, Egypt. Email address: [e-mail].

2: Consultant orthopaedic surgeon, Orthopaedic surgery department, hand and microsurgery unit, El Minia University Hospital, Egypt. Email address: [e-mail].

3: Consultant orthopaedic surgeon, Orthopaedic surgery department, El Minia University Hospital, Egypt. Email address:

*Corresponding author:

Ahmed Fathy Sadek; M.D.

Consultant

On the other hand, some other authors prefer combined 4th ray amputation and 5th ray radial translocation achieving better functional results in the form of 83% pinch strength, 80% grip strength in comparison to the healthy side. In addition the ROM of the MPJ was 78? [8]. In another study, patients with single ray amputation with translation of the adjacent digit showed 28% grip, 13% key pinch, and 26% oppositional pinch strength loss compared with the non-injured hand. Furthermore, gross hand function as measured by the MRM test and fine finger dexterity as measured by the TGP test showed 12% and 24% loss, respectively (6). These results are inferior to our results in group (1), mean grip strength of our patients was 83.5 %, the pinch strength 93.83%, and the post-operative MCPJ ROM was 83.12?. But they were comparable to our results in group (2), as the mean grip strength of our patients was 74.77 %, the pinch strength 91%, and the post-operative MCPJ ROM was