Medial femoral condyle free flap for carpo-metacarpal instability following hamate comminute fracture

被引：0
|
作者：
Borsetti, Marco [1 ]
Patane, Luca [2 ]
Germano, Silvia [1 ]
Cavalieri, Enrico [1 ,2 ]
机构：
[1] Maria Vittoria Hosp, Surg Dept ASL Citta Torino, Div Plast Surg Hand Surg & Microsurg, Turin, Italy
[2] Sapienza Univ Rome, Dept Surg, Pietro Valdoni Plast Surg Unit, Rome, Italy
来源：
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY | 2023年 / 143卷 / 04期
关键词：
Hamate fracture; Medial Femoral Condyle flap; Osseous flap; Bone reconstruction; Hand trauma; Hand microsurgery; AVASCULAR NECROSIS; BONE;
D O I：
10.1007/s00402-022-04654-4
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Complete reconstruction of the hamate bone has been reported in the literature mostly following cancer excision or avascular necrosis. For the exiguity of the tissue deficit, bone grafting has usually been used as treatment option for its rapidity and easiness to perform, even if a variable amount of bone resorption may occur. In traumatic cases, microbial contamination may jeopardize the success of a well performed bone graft and vascularised bone grafts may represent a better reconstructive option. Here we describe the first case reported in the literature of a patient underwent complete hamate reconstruction following trauma with an osseous medial femoral condyle free flap as vascularized arthrodesis between the capitate and the 4th MTC base, in order to stabilize the 4th and 5th finger and the ulnar carpo-metacarpal joint.
引用
收藏
页码：2255 / 2260
页数：6
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