The use of vascularized phalanx for the first metacarpal bone defect in a mutilating hand injury. Case report

In this case report, the use of middle phalanx of index finger for reconstruction bone defect of the first metacarpal is described. The reasons for this kind of usage and 1-year follow-up of the patient are discussed. During the follow-up, a pseudoarthrosis was observed in the repaired first ray. An...

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Bibliographic Details
Published in:Annales de chirurgie plastique et esthétique 2006-06, Vol.51 (3), p.235-238
Main Authors: Coban, Y.K., Uzel, M., Cetinus, E.
Format: Article
Language:English
Subjects:
Adolescent
Biological and medical sciences
Dermatology
Finger Phalanges - blood supply
Finger Phalanges - transplantation
Hand Injuries - surgery
Hand injury
Hemodynamics - physiology
Humans
Main traumatique
Male
Medical sciences
Metacarpal Bones - injuries
Metacarpal Bones - surgery
Metacarpal defect
Perte de substance osseuse
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Transfert de phalange vascularisée
Vascularized phalanx transfer
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Summary:In this case report, the use of middle phalanx of index finger for reconstruction bone defect of the first metacarpal is described. The reasons for this kind of usage and 1-year follow-up of the patient are discussed. During the follow-up, a pseudoarthrosis was observed in the repaired first ray. And this may be considered as a useful complication, when there is stiffness in the carpometacarpal joint. It may be a result of a stiff joint or vice versa. Ce cas clinique rapporte l'utilisation de la deuxième phalange moyenne vascularisée de l'index pour la reconstruction d'une perte de substance du premier métacarpien. L'indication et le résultat à un an postopératoire sont discutés. Dans les suites, une pseudoarthrose a été observée dans le premier rayon réparé. Cela peut être considéré comme une complication utile quand il y a une raideur dans l'articulation carpo-métacarpienne. Cela peut être un résultat d'une articulation rigide ou vice versa.
ISSN:0294-1260
1768-319X
DOI:10.1016/j.anplas.2005.12.005