使用由掌背动脉供血的带血管蒂掌骨移植重建指骨。
Reconstruction of a phalangeal bone using a vascularised metacarpal bone graft nourished by a dorsal metacarpal artery.
作者信息
Kakinoki Ryosuke, Ikeguchi Ryosuke, Matsumoto Taiichi, Nakamura Takashi
机构信息
Department of Orthopedic Surgery & Rehabilitation Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
出版信息
Injury. 2008 Oct;39 Suppl 4:25-8. doi: 10.1016/j.injury.2008.08.036.
We report on a patient with an infected nonunion of the left little-finger phalanges following a gunshot injury. The defect was treated by transplanting a partial fifth metacarpus, vascularised by the fourth dorsal metacarpal vessels. Bone union was obtained 6 months after surgery and no signs of infection were found at the site of the nonunion. Although the range of the interphalangeal joints of the finger was limited, the patient was satisfied because the preserved little finger had a metacarpophalangeal (MP) joint with unrestricted motion.
我们报告了一名因枪伤导致左手小指指骨感染性骨不连的患者。通过移植由第四掌背血管供血的部分第五掌骨来治疗该缺损。术后6个月实现了骨愈合，骨不连部位未发现感染迹象。尽管手指指间关节的活动范围有限，但患者仍感到满意，因为保留的小指有一个活动不受限的掌指关节。
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