title: [Thumb replacement operation using metacarpal distraction osteotomy as a secondary intervention after thumb amputation].
abstract: After thumb amputation distal to the MCP-1 joint, good results can be achieved with lengthening of the first metacarpal bone by an external fixateur if a correct technique is applied. In all our patients the lengthened thumb was mechanically stable and sensitive, thus improving the patient's ability to use the hand to grasp. Another advantage of this procedure is the relative simplicity of the method. Furthermore, the original nerve and vascular supply can be preserved.
authors.affiliation: Klinik für Unfallchirurgie, Philipps-Universität Marburg.
authors.forename: K
authors.initials: K
authors.lastname: Hette
authors.forename: T
authors.initials: T
authors.lastname: Lemke
authors.forename: M
authors.initials: M
authors.lastname: Sangmeister
authors.forename: L
authors.initials: L
authors.lastname: Gotzen
mesh_terms: D000673:Amputation, Traumatic / Q000601:surgery*; D001852:Bone Lengthening / Q000379:methods*; D016267:External Fixators; D006801:Humans; D008663:Metacarpus / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D011183:Postoperative Complications / Q000601:surgery*; D013933:Thumb / Q000293:injuries*