[Metacarpal shaft reconstruction using medial femoral condyle flap: A case report].

Reconstruction diaphysaire métacarpienne par transfert osseux vascularisé de condyle fémoral interne : à propos d’un cas.
Corticoperiosteal free flap Lambeau libre de condyle fémoral médial Medial femoral condyle flap Metacarpal reconstruction Reconstruction métacarpienne Transfert osseux vascularisé

Journal

Annales de chirurgie plastique et esthetique
ISSN: 1768-319X
Titre abrégé: Ann Chir Plast Esthet
Pays: France
ID NLM: 8305839

Informations de publication

Date de publication:
Jun 2020
Historique:
received: 28 02 2020
revised: 30 03 2020
accepted: 01 04 2020
pubmed: 4 5 2020
medline: 28 5 2021
entrez: 4 5 2020
Statut: ppublish

Résumé

We report the technique applied to reconstruct a whole shaft defect of the 4th metacarpal bone in a 22-year-old women after aneurysmal bone cyst resection. Local invasion leads to possible poor revascularization possibilities, justifying the use of a vascularized bone transfer. Surgical procedure consisted in a 5-centimeter free medial femoral bone flap transfer. Two months after surgery, no after effect was found at donor site and bone consolidation was complete. Bone fixation allowed early active motion and a complete recovery of flexion-extension range was present 1 year after surgery. Free medial femoral condyle was described several times as a solution for metacarpal defects, in osseous or osteocutaneous versions, it represents a useful option in hand surgeons' armamentarium.

Identifiants

pubmed: 32359727
pii: S0294-1260(20)30042-X
doi: 10.1016/j.anplas.2020.04.001
pii:
doi:

Types de publication

Case Reports Journal Article

Langues

fre

Sous-ensembles de citation

IM

Pagination

252-258

Informations de copyright

Copyright © 2020 Elsevier Masson SAS. All rights reserved.

Auteurs

H Maschino (H)

Centre chirurgical Émile-Gallé, CHU de Nancy, 49, rue Hermite, 54000 Nancy, France. Electronic address: hugomaschino@sfr.fr.

G Pomares (G)

Institut européen de la main, hôpital Kirchberg, 9, rue Edward-Steichen, 2540 Luxembourg.

F Dap (F)

Centre chirurgical Émile-Gallé, CHU de Nancy, 49, rue Hermite, 54000 Nancy, France.

G Dautel (G)

Centre chirurgical Émile-Gallé, CHU de Nancy, 49, rue Hermite, 54000 Nancy, France.

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Classifications MeSH