Complete reconstruction of the hamate bone has been reported in the literature mostly following cancer excision or avascular necrosis. For the exiguity of the tissue deficit, bone grafting has usually been used as treatment option for its rapidity and easiness to perform, even if a variable amount of bone resorption may occur. In traumatic cases, microbial contamination may jeopardize the success of a well performed bone graft and vascularised bone grafts may represent a better reconstructive option. Here we describe the first case reported in the literature of a patient underwent complete hamate reconstruction following trauma with an osseous medial femoral condyle free flap as vascularized arthrodesis between the capitate and the 4th MTC base, in order to stabilize the 4th and 5th finger and the ulnar carpo-metacarpal joint.

Medial femoral condyle free flap for carpo-metacarpal instability following hamate comminute fracture / Borsetti, Marco; Patanè, Luca; Germano, Silvia; Cavalieri, Enrico. - In: ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY. - ISSN 0936-8051. - 143:4(2023), pp. 2255-2260. [10.1007/s00402-022-04654-4]

Medial femoral condyle free flap for carpo-metacarpal instability following hamate comminute fracture

Patanè, Luca
Secondo
Writing – Original Draft Preparation
;
Cavalieri, Enrico
Ultimo
Conceptualization
2023

Abstract

Complete reconstruction of the hamate bone has been reported in the literature mostly following cancer excision or avascular necrosis. For the exiguity of the tissue deficit, bone grafting has usually been used as treatment option for its rapidity and easiness to perform, even if a variable amount of bone resorption may occur. In traumatic cases, microbial contamination may jeopardize the success of a well performed bone graft and vascularised bone grafts may represent a better reconstructive option. Here we describe the first case reported in the literature of a patient underwent complete hamate reconstruction following trauma with an osseous medial femoral condyle free flap as vascularized arthrodesis between the capitate and the 4th MTC base, in order to stabilize the 4th and 5th finger and the ulnar carpo-metacarpal joint.
2023
bone reconstruction; hamate fracture; hand trauma; hand microsurgery; medial femoral condyle flap; osseous flap
01 Pubblicazione su rivista::01i Case report
Medial femoral condyle free flap for carpo-metacarpal instability following hamate comminute fracture / Borsetti, Marco; Patanè, Luca; Germano, Silvia; Cavalieri, Enrico. - In: ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY. - ISSN 0936-8051. - 143:4(2023), pp. 2255-2260. [10.1007/s00402-022-04654-4]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1672210
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