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[Reconstruction of the trapeziometacarpal joint and the first metacarpal bone by reversed free osteocutaneous dorsalis pedis flap].

作者信息

Barbary S, Métais P, Dautel G

机构信息

Service de chirurgie plastique et reconstructrice de l'appareil locomoteur, CHU de Nancy, hôpital Jeanne-d'Arc, 54201 Dommartin-les-Toul, France.

出版信息

Chir Main. 2007 Aug-Oct;26(4-5):232-4. doi: 10.1016/j.main.2007.07.004. Epub 2007 Aug 23.

DOI:10.1016/j.main.2007.07.004
PMID:17870629
Abstract

A case of reconstruction after first metacarpal resection by reversed free vascularized osteocutaneous pedis flap is presented. This procedure avoids bone resorption and preserves the trapezio metacarpal joint contrary to conventional bone graft. A double rotation is applied to the flap: the head of the metatarsal becomes proximal and the palmar side becomes dorsal. The metacarpo-phalangeal joint undergo arthrodesis. With a follow up of three years, there is no pain, the Kapandji score is 8/10 (very good range of motion), there is no osteoarthritis.

摘要

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