Reconstruction of Metacarpals of Two Rays with Double Barrel Osteocutaneous Fibular Flap in a Hand Injury with Composite Tissue Loss: A Case Report
Free fibula flap has been a workhorse for head, neck, and extremity long bone defects. We discuss the reconstruction challenge in an unusual hand injury case involving the loss of multiple metacarpals and soft tissue with surprising preservation of finger vascularity. The reconstructive goals were a...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Malaysian Orthopaedic Association
2024-11-01
|
| Series: | Malaysian Orthopaedic Journal |
| Subjects: | |
| Online Access: | https://www.morthoj.org/2024/v18n3/reconstruction-metacarpals.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850169016052613120 |
|---|---|
| author | Mishra JK Sahu SA Sindhuja A Kar BK Saha A |
| author_facet | Mishra JK Sahu SA Sindhuja A Kar BK Saha A |
| author_sort | Mishra JK |
| collection | DOAJ |
| description | Free fibula flap has been a workhorse for head, neck, and extremity long bone defects. We discuss the reconstruction challenge in an unusual hand injury case involving the loss of multiple metacarpals and soft tissue with surprising preservation of finger vascularity. The reconstructive goals were addressed with a microvascular osteocutaneous fibula flap transfer with multiple osteotomies to create spitting images of metacarpals and soft tissue defects restored with the skin paddle. The outcome, in terms of functional gain, was sufficient for managing day-to-day activities. We share our experience in reconstructing this unique presentation of a complex hand injury. |
| format | Article |
| id | doaj-art-17d2f3cba31f4a4a87bc8b4d33f720a2 |
| institution | OA Journals |
| issn | 1985-2533 2232-111X |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Malaysian Orthopaedic Association |
| record_format | Article |
| series | Malaysian Orthopaedic Journal |
| spelling | doaj-art-17d2f3cba31f4a4a87bc8b4d33f720a22025-08-20T02:20:51ZengMalaysian Orthopaedic AssociationMalaysian Orthopaedic Journal1985-25332232-111X2024-11-011831410.5704/MOJ.2411.010Reconstruction of Metacarpals of Two Rays with Double Barrel Osteocutaneous Fibular Flap in a Hand Injury with Composite Tissue Loss: A Case ReportMishra JK0Sahu SA1Sindhuja A2Kar BK3Saha A4Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Raipur, IndiaDepartment of Burns and Plastic Surgery, All India Institute of Medical Sciences, Raipur, IndiaDepartment of Burns and Plastic Surgery, All India Institute of Medical Sciences, Raipur, IndiaDepartment of Orthopaedics, All India Institute of Medical Sciences, Raipur, IndiaDepartment of Burns and Plastic Surgery, All India Institute of Medical Sciences, Raipur, IndiaFree fibula flap has been a workhorse for head, neck, and extremity long bone defects. We discuss the reconstruction challenge in an unusual hand injury case involving the loss of multiple metacarpals and soft tissue with surprising preservation of finger vascularity. The reconstructive goals were addressed with a microvascular osteocutaneous fibula flap transfer with multiple osteotomies to create spitting images of metacarpals and soft tissue defects restored with the skin paddle. The outcome, in terms of functional gain, was sufficient for managing day-to-day activities. We share our experience in reconstructing this unique presentation of a complex hand injury.https://www.morthoj.org/2024/v18n3/reconstruction-metacarpals.pdfmetacarpal reconstructionfree fibula flapmetacarpal loss |
| spellingShingle | Mishra JK Sahu SA Sindhuja A Kar BK Saha A Reconstruction of Metacarpals of Two Rays with Double Barrel Osteocutaneous Fibular Flap in a Hand Injury with Composite Tissue Loss: A Case Report Malaysian Orthopaedic Journal metacarpal reconstruction free fibula flap metacarpal loss |
| title | Reconstruction of Metacarpals of Two Rays with Double Barrel Osteocutaneous Fibular Flap in a Hand Injury with Composite Tissue Loss: A Case Report |
| title_full | Reconstruction of Metacarpals of Two Rays with Double Barrel Osteocutaneous Fibular Flap in a Hand Injury with Composite Tissue Loss: A Case Report |
| title_fullStr | Reconstruction of Metacarpals of Two Rays with Double Barrel Osteocutaneous Fibular Flap in a Hand Injury with Composite Tissue Loss: A Case Report |
| title_full_unstemmed | Reconstruction of Metacarpals of Two Rays with Double Barrel Osteocutaneous Fibular Flap in a Hand Injury with Composite Tissue Loss: A Case Report |
| title_short | Reconstruction of Metacarpals of Two Rays with Double Barrel Osteocutaneous Fibular Flap in a Hand Injury with Composite Tissue Loss: A Case Report |
| title_sort | reconstruction of metacarpals of two rays with double barrel osteocutaneous fibular flap in a hand injury with composite tissue loss a case report |
| topic | metacarpal reconstruction free fibula flap metacarpal loss |
| url | https://www.morthoj.org/2024/v18n3/reconstruction-metacarpals.pdf |
| work_keys_str_mv | AT mishrajk reconstructionofmetacarpalsoftworayswithdoublebarrelosteocutaneousfibularflapinahandinjurywithcompositetissuelossacasereport AT sahusa reconstructionofmetacarpalsoftworayswithdoublebarrelosteocutaneousfibularflapinahandinjurywithcompositetissuelossacasereport AT sindhujaa reconstructionofmetacarpalsoftworayswithdoublebarrelosteocutaneousfibularflapinahandinjurywithcompositetissuelossacasereport AT karbk reconstructionofmetacarpalsoftworayswithdoublebarrelosteocutaneousfibularflapinahandinjurywithcompositetissuelossacasereport AT sahaa reconstructionofmetacarpalsoftworayswithdoublebarrelosteocutaneousfibularflapinahandinjurywithcompositetissuelossacasereport |