The Versatile Vascularized Second Metacarpal-Base Bone Graft.

Détails

ID Serval
serval:BIB_50716F96A940
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
The Versatile Vascularized Second Metacarpal-Base Bone Graft.
Périodique
Journal of clinical medicine
Auteur⸱e⸱s
Christen T., Cottier C., Durand S.
ISSN
2077-0383 (Print)
ISSN-L
2077-0383
Statut éditorial
Publié
Date de publication
19/07/2024
Peer-reviewed
Oui
Volume
13
Numéro
14
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Publication Status: epublish
Résumé
Vascularized bone grafts of the wrist and hand help to achieve bone union in various clinical settings such as bone fusion or nonunion treatment. Among the multiple possible donor sites, the base of the second metacarpal is convenient because of its relatively straightforward harvesting, lack of impairment of the hand vascularization, sufficient bone supply for small joint fusion and phalanx or metacarpal nonunion management. The flap is versatile as it can reach any carpal and metacarpal bone as well as the proximal phalanx of all fingers. The arc of rotation of the flap depends on which side of the dorsal intercarpal arch it is based, either radially or ulnarly. It can also be pedicled distally by a retrograde flow through the second dorsal metacarpal artery. The robust vascularization of the flap allows for reliable healing. We present five new indications in various clinical settings that illustrate the versatility of the arc of rotation of the flap.
Mots-clé
dorsal metacarpal artery, nonunion, second metacarpal, vascularized bone flap
Pubmed
Web of science
Open Access
Oui
Création de la notice
05/08/2024 16:16
Dernière modification de la notice
06/08/2024 6:03
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