PMID: 16518216Mar 7, 2006Paper

Thumb metacarpal lengthening

Techniques in Hand & Upper Extremity Surgery
I B Matev

Abstract

Over a period of 35 years, 92 patients have been treated: 70 adults and 22 children age 8 to 14. The metacarpal lengthening obtained varied from 2 to 4.5 cm with an average of 3.5 cm, or equal to the length of a thumb proximal phalanx. In one third of the adult patients, due to delayed spontaneous ossification, the interfragmental space was bridged by a bone graft taken from the iliac crest. Late follow-up of 21 patients made 10 to 14 years after the treatment showed good function of the thumb with a normal pattern of skin sensibility. The lack of trophic changes in the distal part of the reconstructed thumb is due to the interposition type of bone lengthening, that is, the new bone structure is placed into the bone middle and not superimposed on the bone stump end, as is done in other methods of thumb reconstruction. The metacarpal lengthening procedure has the following drawbacks: (1) the full treatment course lasts several months; (2) the reconstructed thumb has neither joint nor nail. Advantages of the method are: (1) reconstruction of the thumb is done by using the available stump tissue resources; (2) the reconstructed thumb is covered by its own, normally innervated skin.

References

Sep 1, 1977·The Journal of Hand Surgery·I KesslerO Hecht
Jan 1, 1988·Annales De Chirurgie De La Main : Organe Officiel Des Sociétés De Chirurgie De La Main·G FoucherJ M Braun
Jan 1, 1988·Annales De Chirurgie De La Main : Organe Officiel Des Sociétés De Chirurgie De La Main·J L CondamineJ H Aubriot
Feb 1, 1981·Zeitschrift für Orthopädie und ihre Grenzgebiete·G Neff

❮ Previous
Next ❯

Citations

Oct 29, 2011·Clinics in Plastic Surgery·Jeffrey B Friedrich, Nicholas B Vedder
Mar 18, 2011·The Journal of Hand Surgery·Mehmet Bekir ÜnalFatih Parmaksizoğlu
Nov 27, 2009·Strategies in Trauma and Limb Reconstruction·Panagiotis GivissisAnastasios Christodoulou
Apr 14, 2006·Chirurgie de la main·S BaccariH Bahri
Jun 18, 2015·The Journal of Surgical Research·Hainan ZhuQingfeng Li
Jul 9, 2008·The Journal of Hand Surgery, European Volume·C Y HeoM S Chung
Sep 5, 2009·Techniques in Hand & Upper Extremity Surgery·Tahseen A Cheema, Steve Miller
Sep 26, 2014·Plastic and Reconstructive Surgery·Mitchell A PetNicholas B Vedder
Mar 14, 2017·BioMed Research International·Zhenyu DingXianyou Zheng
Jan 21, 2021·Journal of Plastic Surgery and Hand Surgery·Kousuke IbaToshihiko Yamashita
Jan 15, 2021·Techniques in Hand & Upper Extremity Surgery·Nicholas Pulos, E Ladd Jones

❮ Previous
Next ❯

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.