title: Reconstruction of a tuberculous thumb by free bone grafting. A case report.
abstract: Tuberculosis with secondary staphylococcal infection destroyed the right thumb and index phalanges of a 24-year-old farmer. Four months after starting antibiotic therapy the index finger was amputated, and the thumb reconstructed by excising the disorganized phalanges and transferring the index metacarpal as a free graft to replace them. No previous report of this technique has been traced. A concurrent infection of the patient's left tarsus was treated by triple arthrodesis.
mesh_terms: D000328:Adult; D000671:Amputation, Surgical; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016025:Bone Transplantation; D005385:Fingers / Q000601:surgery; D006801:Humans; D008297:Male; D010000:Osteitis / Q000188:drug therapy; D013203:Staphylococcal Infections / Q000188:drug therapy; D013933:Thumb / Q000601:surgery*; D014182:Transplantation, Autologous; D014394:Tuberculosis, Osteoarticular / Q000601:surgery*
chemical_list: D000900:Anti-Bacterial Agents