Use of a Fascial Reverse Dorso-Ulnar Metacarpal Bone Flap for Non-union of the Distal Phalanx of the Thumb: A Case Report

Author:

ISHIDA Naoya1,USAMI Satoshi2,TANAKA Kentaro1,MORI Hiroki1

Affiliation:

1. Department of Plastic and Reconstructive Surgery, Tokyo Medical and Dental University, Tokyo, Japan

2. Department of Hand Surgery, Tokyo Hand Surgery & Sports Medicine Institute, Takatsuki Orthopaedic Hospital, Tokyo, Japan

Abstract

Reports describing the treatment of non-union of the distal phalanx of the thumb are limited. We present the case of a 45-year-old man who developed a symptomatic non-union after an open fracture of the distal phalanx of the thumb. He was treated with a reverse dorso-ulnar vascularised fascial metacarpal bone flap. Bone union was achieved 3 months post surgery, and he was well at 7 months post surgery. The reverse dorso-ulnar fascial metacarpal bone flap is an alternative to consider in patients with non-union of the distal phalanx of the thumb. Level of Evidence: Level V (Therapeutic)

Publisher

World Scientific Pub Co Pte Ltd

Subject

General Medicine

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