title: [Skeletal thumb reconstruction by vascularized metacarpal II transposition. Anatomic study and clinical case reports].
abstract: In complex hand injuries with destruction of the index finger, improved function is achieved by resection of the second metacarpal. We examined the possible use of the second metacarpal for reconstruction of simultaneous bony thumb defects. Its vascular anatomy was studied by dissection of 104 cadaver hands that had been injected with "Kleistermasse". Six arterial patterns were found, all of them useful for transposition of the second metacarpal into a thumb defect. The use of this new vascularized pedicle bone graft is demonstrated.
authors.affiliation: Department für Plastische Chirurgie, Universitätsklinik für Chirurgie Graz.
authors.forename: H
authors.initials: H
authors.lastname: Hoflehner
authors.forename: G
authors.initials: G
authors.lastname: Pierer
authors.forename: J
authors.initials: J
authors.lastname: Steffen
mesh_terms: D000293:Adolescent; D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D016025:Bone Transplantation / Q000379:methods*; D005383:Finger Injuries / Q000601:surgery*; D005385:Fingers / Q000098:blood supply; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods; D005597:Fractures, Open / Q000601:surgery; D006801:Humans; D008297:Male; D008662:Metacarpophalangeal Joint / Q000293:injuries / Q000601:surgery; D008663:Metacarpus / Q000098:blood supply / Q000637:transplantation*; D008866:Microsurgery / Q000379:methods*; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography; D013524:Surgical Flaps / Q000379:methods*; D013933:Thumb / Q000098:blood supply / Q000293:injuries*; D014680:Veins / Q000637:transplantation
vernacular_title: Daumenskelettrekonstruktion durch vaskularisierte Metakarpale II-Transposition. Anatomische Studie und klinische Fallbeispiele.