As to the results, one year out, the scar tissue has dramatically reduced in thickness. He still has a lump of tissue next to the new finger which as of right now, will stay there. That section of his hand was very vascular so at the time of surgery, Dr. Moran did not want to mess too much with it since there was already so much vascular work being done. It may also change over time, as his finger and hand grows. At some point, Zeke may have another surgery to reduce that mass of tissue or he may not. It just depends. He can bring this thumb and new finger completely together. In general, his new finger has not made much difference in his fine motor skills. Zeke has always had amazing fine motor skill using the half a pointer and thumb to pinch and grip. He really doesn't use his new finger for that type of stuff. But the new finger does give him a much wider grip and it does make it easier to hold onto larger things. He doesn't use it every single time he wants to grip something but I do see him using occasionally for things like balancing his silverware or holding a ball. If you think about your own hands, that third finger really plays more a supportive role rather than taking center stage and I think that's what we are seeing with Zeke's finger. He has done no physical therapy with it which is apparently pretty normal for this type of surgery.
A few pics: