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Boutonniere Deformity: Before Your Surgery

What is boutonniere deformity surgery?

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A boutonniere (say "boo-tuh-NEER") deformity is an injury to the tendon that runs over the middle joint of a finger. The injury causes the middle joint to bend down and the end joint to bend up. When you have this injury, you can't straighten your finger.

"Boutonniere" is French for "buttonhole." The injury often causes an opening in the tendon that looks like a buttonhole.

Surgery involves making a cut in the skin over the joint and fixing the tendon.

You will probably be able to go home after the surgery. Your doctor may put a splint on your hand or finger after the surgery. If so, wear it exactly as directed. Do not remove it until your doctor says that you can.

How do you prepare for surgery?

Surgery can be stressful. This information will help you understand what you can expect. And it will help you safely prepare for surgery.

Preparing for surgery

	You may need to shower or bathe with a special soap the night before and the morning of your surgery. The soap contains chlorhexidine. It reduces the amount of bacteria on your skin that could cause an infection after surgery.
	Be sure you have someone to take you home. Anesthesia and pain medicine will make it unsafe for you to drive or get home on your own.
	Understand exactly what surgery is planned, along with the risks, benefits, and other options.
	If you take a medicine that prevents blood clots, your doctor may tell you to stop taking it before your procedure. Or your doctor may tell you to keep taking it. (These medicines include aspirin and other blood thinners.) Make sure that you understand exactly what your doctor wants you to do.
	Tell your doctor ALL the medicines, vitamins, supplements, and herbal remedies you take. Some may increase the risk of problems during your surgery. Your doctor will tell you if you should stop taking any of them before the surgery and how soon to do it.
	Make sure your doctor and the hospital have a copy of your advance directive. If you don't have one, you may want to prepare one. It lets others know your health care wishes. It's a good thing to have before any type of surgery or procedure.

What happens on the day of surgery?

	Follow the instructions exactly about when to stop eating and drinking. If you don't, your surgery may be canceled. If your doctor told you to take your medicines on the day of surgery, take them with only a sip of water.
	Follow your doctor's instructions about when to bathe or shower before your surgery. Do not apply lotions, perfumes, deodorants, or nail polish.
	Do not shave the surgical site yourself.
	Take off all jewelry and piercings. And take out contact lenses, if you wear them.

At the hospital or surgery center

	Bring a picture ID.
	The area for surgery is often marked to make sure there are no errors.
	You will be kept comfortable and safe by your anesthesia provider. The anesthesia may make you sleep. Or it may just numb the area being worked on.
	The surgery will take about 90 minutes.

When should you call your doctor?

You have questions or concerns.

You don't understand how to prepare for your surgery.

You become ill before the surgery (such as fever, flu, or a cold).

You need to reschedule or have changed your mind about having the surgery.

Current as of: July 17, 2023

Content Version: 14.0

Care instructions adapted under license by your healthcare professional. If you have questions about a medical condition or this instruction, always ask your healthcare professional. Healthwise, Incorporated disclaims any warranty or liability for your use of this information.

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