Complex Kaplan’s lesion of the thumb managed by an open dorsal approach: A rare case report

Abstract

This case report presents a comprehensive account of the successful management of a complex Kaplan's Lesion of the thumb utilizing a modified open dorsal approach and provide insights into the surgical procedure, postoperative outcomes, and the effectiveness of this approach in addressing such a challenging case. A patient presented with a complex Kaplan's Lesion of the thumb, characterized by dislocation with absence of any fractures. The decision to employ an open dorsal approach was based on careful preoperative clinical and radiological assessment and considerations of the lesion complexity. A detailed description of the closed reduction and open dorsal approach, including incision placement, tissue dissection, and repositioning of the joint was done, with special attention given to preserving the volar plate critical for thumb functionality. The effectiveness of this approach in managing complex Kaplan's Lesion is critically evaluated, considering both aesthetic and functional aspects. This case report emphasizes on viability of the open dorsal approach in successfully managing complex Kaplan's Lesions of the thumb. The insights gained from this case offer valuable guidance for surgeons faced with similar cases.