Reconstruction of floating thumb by transplanting the fourth metatarsal.
We report the reconstruction of two cases of floating thumb by transplanting the distal two-thirds of the fourth metatarsal. Opponensplasty was performed after six months and resulted in satisfactory morphological and functional results. The metatarsal defect was filled by a full-thickness iliac bone graft including the apophysis. This prevented shortening of the fourth toe and formed a new metatarsophalangeal joint.
Tsujino
A
A
Department of Orthopaedic Surgery, University of Tsukuba, Japan.
Itoh
Y
Y
Hayashi
K
K
D016025:Bone Transplantation; D002675:Child, Preschool; D006801:Humans; D007085:Ilium; D007223:Infant; D008297:Male; D008684:Metatarsus / Q000601:surgery*; D013933:Thumb / Q000002:abnormalities* / Q000601:surgery*; D014182:Transplantation, Autologous