Graham David, Sivakumar Brahman, Piñal Francisco Del
Department of Orthopaedic Surgery, Gold Coast University Hospital, Southport, Australia; Australian Research Collaboration on Hands (ARCH), Mudgeeraba, Australia; Griffith University School of Medicine, Southport, Australia.
Department of Orthopaedic Surgery, Gold Coast University Hospital, Southport, Australia; Australian Research Collaboration on Hands (ARCH), Mudgeeraba, Australia.
J Hand Surg Am. 2022 Feb;47(2):196.e1-196.e6. doi: 10.1016/j.jhsa.2021.05.015. Epub 2021 Jul 1.
Massive carpal loss following trauma, tumor, or infection poses a difficult reconstructive challenge. There are limited reconstructive options for such cases, particularly when the metacarpal bases are also lost. We describe a method of carpal reconstruction using closing wedge osteotomies in a triangular vascularized free fibular flap, and a proposed algorithm for the management of metacarpal instability in this setting.
