title: [Therapy of osteomyelitis in the metacarpal region with local pedicle m. interosseus dorsalis II and III-flap-plasty. Anatomic principles and case report].
abstract: Both experimental and clinical studies showed that muscle flap transposition is a reliable method for treating chronic infections of the bone. Advantages of muscle flaps are: treatment of infection with well perfused autogenous tissue obviating the use of implants, cure of infection usually within four weeks and consequently, short immobilisation time. Disadvantages of muscle flaps are loss of muscle function with possible donor-site morbidity. The first dorsal interosseous muscle and the abductor digiti minimi muscle have been used successfully for the treatment of osteomyelitis of the metacarpals. The second and third dorsal interosseous muscle are presented for the first time. After discussing anatomy, especially vascularisation of these muscles, the operative technique is shown and a case of osteomyelitis of the third metacarpal treated by this new transposition is reported.
authors.affiliation: Anatomischen Anstalt der Ludwig-Maximilians-Universität München.
authors.forename: R
authors.initials: R
authors.lastname: Giunta
authors.forename: R
authors.initials: R
authors.lastname: Hierner
authors.forename: K
authors.initials: K
authors.lastname: Wilhelm
authors.forename: R
authors.initials: R
authors.lastname: Putz
mesh_terms: D000328:Adult; D000818:Animals; D006230:Hand Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008663:Metacarpus / Q000000981:diagnostic imaging / Q000601:surgery*; D010014:Osteolysis / Q000000981:diagnostic imaging / Q000601:surgery; D010019:Osteomyelitis / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography; D013524:Surgical Flaps / Q000379:methods*; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging / Q000601:surgery*
vernacular_title: Therapie der Osteomyelitis im Metakarpalbereich mit lokal gestielter M. interosseus dorsalis II- und III-Lappenplastik. Anatomische Grundlagen und Fallbericht.