Outcome of “Vascularized Bone Graft Spare Parts” Reconstruction of Segmental Metacarpal Deficits of Hand
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2019, Vol 31, Issue 03
Abstract
Objective: To determine the radiological and functional outcome of “vascularized bone graft spare parts” fashioned from severely damaged but viable parts of the hand and used for reconstruction of hand defects. Methods: This descriptive study was conducted from 3rd January 2014 to 25th January 2018 in Millat Orthopaedic and Trauma Surgery Hospital Sargodha. All patients with traumatic hand defects fulfilling the inclusion criteria were reconstructed with vascularized bone graft spare parts technique. Patients were followed regularly for viability of graft, bone union and functions of the hand. Results: A total of 6 patients with mean age 33.3 years (range 19 to 45 years) were included in our study. The aetiology of hand trauma was saw cut in 2(33.3%), crush injury in 2(33.3%), firearm in 1(16.6%) and sepsis in 1(16.6%) patient. Segmental defects in the first metacarpal were present in 3(50%) patients, first and third metacarpal in 2(33.3%) and third metacarpal in 1(16.6%) patient. Vascularized bone graft spare part pedicle of index phalangeal osteocutaneous was used in 6 patients, 2nd metacarpal osseous in 1(16.6%) and ring phalangeal osteocutaneous in 1 (16.6%). The average length of harvested bone graft used was 4.13cm (Range 3 to 5.5cm). All the flaps survived and bones united. Acceptable hand functions were restored in 4(66.6%) and mangled hand in 2(33.3%) patients. All patients resumed their work status and functional results were satisfactory. Conclusion: Severely damaged and complex hand injuries treated with vascularized bone graft spare parts technique had good radiological and functional outcome. We, therefore recommend that vascularized bone graft pedicle spare parts of a severely injured hand should be innovated as a possible source for one stage reconstruction of the hand.
Authors and Affiliations
Muhammad Amin Cheema, Haider Amin Cheema, Hamza Bashir
Keywords
Related Articles
- EP ID EP741588
- DOI -
- Views 31
- Downloads 0
Ilizarov External Fixator in The Management of Fractures of Femur
To evaluate the outcome of the Ilizarov technique in open fractures and nonunion of the femur. Material and Method: This multicenter case series study was performed on 27 consecutive patients at Orthopedic Unitsof Khyber...
Outcome of Fracture Distal Femur Treated with Retrograde Nailing
Objective: To determine the functional and radiological outcome of fracture distal femur treated with retrograde interlocking nail. Methods: This was a descriptive study conducted at Department of Orthopaedics surgery J...
Clinical Outcome of MIPO Technique in Complex Multi-fragmentary Distal Femoral Fractures
To evaluate clinical outcome of minimally invasive plate osteosynthesis (MIPO) in complex multifragmentary distal femoral fractures. Study design: Prospective interventional study Place and duration of study: The study w...
Comparison of Closed Versus Open Interlocking Nail Femur: A Retrospective Cohort Study in a Tertiary Care Hospital
Objective: To compare the results of closed interlocking nail shaft of femur versus open interlocking nail in terms of union, non-union and infection rate. Methods: We conducted this retrospective Cohort study in Depa...
Piriformis Muscle Sparing Posterior Approach in Total Hip Replacement: Our Experience
Background: The total hip arthroplasty (THA) procedure is effective surgical procedures of twentieth century. THA has been considered using a variety of techniques. The objective of current study was to determine outcome...