title: Late reconstruction of two total metacarpal bone defects using lengthening devices and a double-barrel osteocutaneous free parascapular flap.
abstract: A case was presented in which the late reconstruction of left ring and little metacarpal bone defects was carried out using a lengthening device and a double-barrel osteocutaneous free parascapular flap. With this flap, up to 14 cm of nearly straight bone of a suitable width and length for the reconstruction of two metacarpal bones was raised safely. However, it required 3 months of lengthening to create enough space to insert the grafted bone because of the severe resistance of scar contracture and fibrous tissues.
authors.affiliation: Department of Plastic and Reconstructive Surgery at the Miyazaki Social Insurance Hospital, Miyazaki City, Japan. m-fujioka@mwc.biglobe.ne.jp
authors.forename: F
authors.initials: F
authors.lastname: Masaki
authors.forename: D
authors.initials: D
authors.lastname: Takehiro
authors.forename: M
authors.initials: M
authors.lastname: Ryuuichi
authors.forename: M
authors.initials: M
authors.lastname: Kumi
mesh_terms: D000328:Adult; D001852:Bone Lengthening / Q000295:instrumentation*; D016025:Bone Transplantation; D006230:Hand Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008663:Metacarpus / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography; D012086:Reoperation; D013524:Surgical Flaps