Ziegler D, Meffert R H
Klinik für Unfall-, Hand-, Plastische und Wiederherstellungschirurgie, Universitätsklinikum, Würzburg.
Handchir Mikrochir Plast Chir. 2012 Oct;44(5):314-6. doi: 10.1055/s-0032-1323778. Epub 2012 Oct 1.
Reconstruction of traumatic metacarpal defects is still challenging because of the key function of the architecture of the metacarpus for the function of the entire hand. Especially the exact restoration of the rotation for a parallel finger movement plays an important role. There are less information on this topic in the literature. We present a 28-year old patient with a traumatic almost complete defect of the fourth metacarpal. Reconstruction of the metacarpal arch was achieved with an artificial synostosis between the intact head of the 4th metacarpal and the 3rd metacarpal.
由于掌骨结构对整个手部功能起关键作用，创伤性掌骨缺损的重建仍然具有挑战性。特别是平行手指运动时旋转的精确恢复起着重要作用。文献中关于这个主题的信息较少。我们介绍一位28岁的患者，其第四掌骨存在创伤性几乎完全缺损。通过第四掌骨完整的头部与第三掌骨之间的人工关节固定术实现了掌骨弓的重建。
