Radial Half of the Second Metacarpal Bone and the First Dorsal Interosseous Muscle Composite Flap for Treating the First Metacarpal Bone Defect: A Case Report

Author:

Janesaksrisakul Disorn1,Pongernnak Nontich2,Anantavorasakul Navapong3

Affiliation:

1. Department of Orthopaedic, Chonburi Hospital, Chonburi, Thailand

2. Department of Orthopaedic, Kasemrad Chachoengsao Hospital, Chachoengsao, Thailand

3. Upper Extremity and Reconstructive Microsurgery Unit, Institute of Orthopaedic, Lerdsin Hospital, Bangkok, Thailand

Abstract

Traumatic bone defect is a challenging problem for both patient and doctor. The goal of treatment is the restoration of hand function with acceptable appearance of an injured hand. Especially in the injury of the thumb, length and stability are very important to achieve good holding and pinching functions. We reported a 23-year-old patient with traumatic first metacarpal bone loss after a motor vehicle accident treated with vascularized radial half of the second metacarpal bone and the first dorsal interosseous muscle composite flap.

Publisher

World Scientific Pub Co Pte Lt

Subject

General Medicine

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