First Dorsal Metacarpal Artery-pedicled Second Metacarpal Vascularized Bone Graft for Nonunion after Thumb Carpometacarpal Arthrodesis

Arthrodesis is a reliable surgical procedure for treating thumb carpometacarpal osteoarthritis. However, the most frequent and problematic complication of arthrodesis is nonunion. Although postarthrodesis-related nonunion is a common complication, the indications and results of revision procedures f...

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Autores principales: Komura, Shingo, Hirakawa, Akihiro, Hirose, Hitoshi, Akiyama, Haruhiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Hand
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10019248/
https://www.ncbi.nlm.nih.gov/pubmed/36936456
http://dx.doi.org/10.1097/GOX.0000000000004882
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author Komura, Shingo
Hirakawa, Akihiro
Hirose, Hitoshi
Akiyama, Haruhiko
author_facet Komura, Shingo
Hirakawa, Akihiro
Hirose, Hitoshi
Akiyama, Haruhiko
author_sort Komura, Shingo
collection PubMed
description Arthrodesis is a reliable surgical procedure for treating thumb carpometacarpal osteoarthritis. However, the most frequent and problematic complication of arthrodesis is nonunion. Although postarthrodesis-related nonunion is a common complication, the indications and results of revision procedures for this pathological condition have not been well documented. A 59-year-old man underwent arthrodesis for thumb carpometacarpal osteoarthritis, which resulted in painful nonunion 7 months after the surgery. We performed revision surgery for this pathological condition, using first dorsal metacarpal artery-pedicled second metacarpal vascularized bone graft. This method resulted in successful bone union and pain relief. First dorsal metacarpal artery-pedicled second metacarpal vascularized bone grafting could be an alternative method for nonunion, which is a common complication after thumb carpometacarpal arthrodesis.
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spelling pubmed-100192482023-03-17 First Dorsal Metacarpal Artery-pedicled Second Metacarpal Vascularized Bone Graft for Nonunion after Thumb Carpometacarpal Arthrodesis Komura, Shingo Hirakawa, Akihiro Hirose, Hitoshi Akiyama, Haruhiko Plast Reconstr Surg Glob Open Hand Arthrodesis is a reliable surgical procedure for treating thumb carpometacarpal osteoarthritis. However, the most frequent and problematic complication of arthrodesis is nonunion. Although postarthrodesis-related nonunion is a common complication, the indications and results of revision procedures for this pathological condition have not been well documented. A 59-year-old man underwent arthrodesis for thumb carpometacarpal osteoarthritis, which resulted in painful nonunion 7 months after the surgery. We performed revision surgery for this pathological condition, using first dorsal metacarpal artery-pedicled second metacarpal vascularized bone graft. This method resulted in successful bone union and pain relief. First dorsal metacarpal artery-pedicled second metacarpal vascularized bone grafting could be an alternative method for nonunion, which is a common complication after thumb carpometacarpal arthrodesis. Lippincott Williams & Wilkins 2023-03-16 /pmc/articles/PMC10019248/ /pubmed/36936456 http://dx.doi.org/10.1097/GOX.0000000000004882 Text en Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Hand
Komura, Shingo
Hirakawa, Akihiro
Hirose, Hitoshi
Akiyama, Haruhiko
First Dorsal Metacarpal Artery-pedicled Second Metacarpal Vascularized Bone Graft for Nonunion after Thumb Carpometacarpal Arthrodesis
title First Dorsal Metacarpal Artery-pedicled Second Metacarpal Vascularized Bone Graft for Nonunion after Thumb Carpometacarpal Arthrodesis
title_full First Dorsal Metacarpal Artery-pedicled Second Metacarpal Vascularized Bone Graft for Nonunion after Thumb Carpometacarpal Arthrodesis
title_fullStr First Dorsal Metacarpal Artery-pedicled Second Metacarpal Vascularized Bone Graft for Nonunion after Thumb Carpometacarpal Arthrodesis
title_full_unstemmed First Dorsal Metacarpal Artery-pedicled Second Metacarpal Vascularized Bone Graft for Nonunion after Thumb Carpometacarpal Arthrodesis
title_short First Dorsal Metacarpal Artery-pedicled Second Metacarpal Vascularized Bone Graft for Nonunion after Thumb Carpometacarpal Arthrodesis
title_sort first dorsal metacarpal artery-pedicled second metacarpal vascularized bone graft for nonunion after thumb carpometacarpal arthrodesis
topic Hand
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10019248/
https://www.ncbi.nlm.nih.gov/pubmed/36936456
http://dx.doi.org/10.1097/GOX.0000000000004882
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