Normal view MARC view ISBD view

Functional reconstruction of subtotal thumb metacarpal defect with a vascularized medial femoral condyle flap: case report.

MedStar author(s):

Citation: J Hand Surg [Am]. 39(10):2005-8, 2014 Oct.Journal of Hand Surgery - American Volume. 39(10):2005-8, 2014 Oct.PMID: 25064623Institution: Curtis National Hand CenterForm of publication: Journal ArticleMedline article type(s): Case Reports | Journal ArticleSubject headings: *Femur/tr [Transplantation] | *Hand Injuries/su [Surgery] | *Metacarpal Bones/su [Surgery] | *Surgical Flaps | *Thumb/su [Surgery] | Finger Injuries/pp [Physiopathology] | Finger Injuries/su [Surgery] | Hand Injuries/pp [Physiopathology] | Humans | Male | Metacarpal Bones/in [Injuries] | Middle Aged | Reconstructive Surgical Procedures/mt [Methods] | Reconstructive Surgical Procedures/rh [Rehabilitation] | Surgical Flaps/bs [Blood Supply] | Thumb/in [Injuries] | Thumb/pp [Physiopathology]Year: 2014 Local holdings: Available in print through MWHC library: 1999 - 2002, Available online from MWHC library: 1995 - presentISSN:

0363-5023

Name of journal: The Journal of hand surgeryAbstract: Devastating hand injuries require customized reconstructive strategies to maximize functional outcomes. We report a case of thumb metacarpal reconstruction using a vascularized medial femoral condyle osteocutaneous flap in the setting of nearly complete metacarpal loss. In addition to achieving the traditional goals of reconstructing thumb length and providing stability, the medial femoral condyle flap allowed motion at the carpometacarpal joint. The patient's hand function was further optimized by a component transfer of a proximally injured but distally preserved index finger to the amputated middle finger position. The patient regained satisfactory grip and thumb function with minimal donor site morbidity. This case highlights the role of both creative and established approaches to reconstruct composite tissues following devastating hand injury. Copyright © 2014 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.All authors: Higgins JP, Katz RD, Wong VWFiscal year: FY2015Digital Object Identifier:

http://dx.doi.org/10.1016/j.jhsa.2014.06.002

Date added to catalog: 2016-07-15

Holdings ( 1 )
Title notes ( 3 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	25064623	Available		25064623

Available in print through MWHC library: 1999 - 2002, Available online from MWHC library: 1995 - present

Devastating hand injuries require customized reconstructive strategies to maximize functional outcomes. We report a case of thumb metacarpal reconstruction using a vascularized medial femoral condyle osteocutaneous flap in the setting of nearly complete metacarpal loss. In addition to achieving the traditional goals of reconstructing thumb length and providing stability, the medial femoral condyle flap allowed motion at the carpometacarpal joint. The patient's hand function was further optimized by a component transfer of a proximally injured but distally preserved index finger to the amputated middle finger position. The patient regained satisfactory grip and thumb function with minimal donor site morbidity. This case highlights the role of both creative and established approaches to reconstruct composite tissues following devastating hand injury. Copyright © 2014 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

English