title: Metacarpal reconstruction in compound contaminated injuries of the hand.
abstract: The use of an external distraction fixation apparatus in severe compound contaminated injuries of the hand with avulsed segments of metacarpals is described. The method has the advantages of stabilizing bony fragments, maintaining hand length and allowing early access for dressing until reconstruction with a bone graft can be undertaken.
mesh_terms: D000328:Adult; D016025:Bone Transplantation; D005260:Female; D005592:Fracture Fixation / Q000295:instrumentation*; D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D008297:Male; D008663:Metacarpus / Q000293:injuries* / Q000601:surgery; D009984:Orthopedic Fixation Devices; D016038:Skin Transplantation; D014946:Wound Infection / Q000601:surgery