• Arch Orthop Trauma Surg · Apr 2023

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

    • Marco Borsetti, Luca Patanè, Silvia Germano, and Enrico Cavalieri.
    • Division of Plastic Surgery, Hand Surgery and Microsurgery, Surgical Department of ASL Città di Torino, Maria Vittoria Hospital, Turin, Italy.
    • Arch Orthop Trauma Surg. 2023 Apr 1; 143 (4): 225522602255-2260.

    AbstractComplete 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.© 2022. The Author(s).

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