title: [Artificial synostosis for traumatic metacarpal defect: a case report].
abstract: Reconstruction of traumatic metacarpal defects is still challenging because of the key function of the architecture of the metacarpus for the function of the entire hand. Especially the exact restoration of the rotation for a parallel finger movement plays an important role. There are less information on this topic in the literature. We present a 28-year old patient with a traumatic almost complete defect of the fourth metacarpal. Reconstruction of the metacarpal arch was achieved with an artificial synostosis between the intact head of the 4th metacarpal and the 3rd metacarpal.
authors.affiliation: Klinik für Unfall-, Hand-, Plastische und Wiederherstellungschirurgie, Universitätsklinikum, Würzburg. dirk-ziegler@gmx.de
authors.forename: D
authors.initials: D
authors.lastname: Ziegler
authors.forename: R H
authors.initials: RH
authors.lastname: Meffert
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D001861:Bone Regeneration / Q000502:physiology; D016025:Bone Transplantation; D001864:Bone Wires; D050824:Carpal Joints / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D052737:Carpometacarpal Joints / Q000293:injuries* / Q000601:surgery*; D020878:Device Removal; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000601:surgery*; D006230:Hand Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D050279:Metacarpal Bones / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D009049:Motorcycles; D011859:Radiography; D012086:Reoperation