title: Free vascularized metacarpal bone graft combined with extended dorsal metacarpal artery flap for phalangeal bone and soft tissue loss: case report.
abstract: A 45-year-old man suffered from a complex bone and soft tissue defect of the middle phalanx of his left middle finger after an electric saw injury. Here, we present the patient's clinical and radiological outcomes after reconstruction with a free vascularized metacarpal II bone graft and an extended distally based second dorsal metacarpal artery skin flap (DMCA). To our knowledge, this is the first description of a free vascularized metacarpal bone graft combined with DMCA for distal finger reconstruction.
authors.affiliation: Department of Plastic and Hand Surgery, University Hospital Erlangen-Nuernberg, Erlangen, Germany. ali.saalabian@uk-erlangen.de
authors.forename: Ali A
authors.initials: AA
authors.lastname: Saalabian
authors.forename: Frank
authors.initials: F
authors.lastname: Unglaub
authors.forename: Raymund E
authors.initials: RE
authors.lastname: Horch
authors.forename: Ulrich
authors.initials: U
authors.lastname: Kneser
mesh_terms: D016025:Bone Transplantation; D005383:Finger Injuries / Q000601:surgery*; D050278:Finger Phalanges / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008297:Male; D050279:Metacarpal Bones / Q000637:transplantation*; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods; D013524:Surgical Flaps