No abstract

Prognostic II.

We present two rare cases of acute osteomyelitis after bite injury that were reconstructed with a third metacarpal base osteoarticular flap and a vascularised medial femoral trochlea osteocartilaginous flap. The outcomes show that a vascularised osteoarticular flap is a good treatment option for a metacarpal head defect.

We present a case of post-traumatic osteonecrosis of the lunate after fracture of the distal radius. Post-traumatic osteonecrosis of the carpal lunate after a fracture of the distal radius has, to our knowledge, not been reported previously. We treated the patient with vascularised bone graft from the distal radius, with a satisfactory result.

We report isolated dislocation of the right pisiform bone dislocated distal and medial to the triquetrum bone in a young adult after a fall. Manipulation and closed reduction under intravenous regional anaesthesia resulted in full functional recovery and a good radiological outcome.