To be clear, I was at the hospital at 7 and in surgery at 8:30, but yes it was an early start. All went very well, the surgeon is pleased, so now it’s a matter of recovery and exercise.
Warning: some of the detail below is a bit graphic. If you’re squeamish perhaps skip this one and just know I’m sore but it will pass.
The surgery itself wasn’t quite as I had previously thought, as was clarified yesterday morning before I went in to surgery. Most of the middle bone is fine, it’s just the base of it that has crumbled. The silicone implant looks something like this:

The long wings to either side slot into holes drilled into the bones and is otherwise held in place by the tendons. The bit in the middle then forms the new knuckle. It’s very clever π
I’m very sore today, worse than last time but of course this is the second time this finger has been cut into, and he’s been drilling into my bones, so no real surprise there. I’m resting it over the weekend and starting exercises on Monday under the guidance of my lovely and patient hand physio. I’m very much looking forward to building up my mobility.
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