[Reconstruction of the index metacarpophalangeal joint with an osteochondral metatarsal head graft].
We report on a 19-year-old male patient with partial destruction of the index metacarpophalangeal joint due to traumatic middle hand amputation. Six months after replantation the metacarpophalangeal joint defect was reconstructed with an osteochondral metatarsal head graft from the second metatarsophalangeal joint. At a follow-up period of four years the patient achieved full metacarpophalangeal extension, with 40 degrees of flexion and grip strength equal to 90 % of the contralateral index finger. Magnetic resonance imaging showed enhancement of contrast medium as a sign for vitality of the transplant.
Wechselberger
G
G
Universitätsklinik für Plastische und Wiederherstellungschirurgie Innsbruck, Osterreich. Gottfried.Wechselberger@uibk.ac.at
Ohlbauer
M
M
Pülzl
P
P
Schoeller
T
T
D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D005500:Follow-Up Studies; D006230:Hand Injuries / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008662:Metacarpophalangeal Joint / Q000293:injuries / Q000601:surgery*; D008682:Metatarsal Bones / Q000637:transplantation*; D019651:Plastic Surgery Procedures; D012092:Replantation; D013997:Time Factors
Rekonstruktion des Zeigefingergrundgelenks durch Transplantation des II. Mittelfusskopfes.