Vascularized Bone Blocks From the Toe Phalanx to Solve Complex Intercalated Defects in the Fingers

Piñal, Francisco del; García-Bernal, Francisco J.; Delgado, Julio; Sanmartín, M.; Regalado, Javier; Cagigal, Leopoldo

doi:10.1016/j.jhsa.2006.03.021

Cited by 38 publications

(25 citation statements)

References 40 publications

(33 reference statements)

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“…Venous anastomoses were end-to-end to local veins and bore no difficulties. As reported previously, 22 spasm is quite common when dealing with free flaps with small donor vessels. Avoiding dryness of the vessels seems important for its prevention.…”

Section: Surgical Techniquesupporting

confidence: 58%

Super-Thinned Iliac Flap for Major Defects on the Elbow and Wrist Flexion Creases

Piñal

García-Bernal

Studer

et al. 2008

The Journal of Hand Surgery

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Section: Surgical Techniquesupporting

confidence: 58%

Super-Thinned Iliac Flap for Major Defects on the Elbow and Wrist Flexion Creases

Piñal

García-Bernal

Studer

et al. 2008

The Journal of Hand Surgery

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“…Radiographic union was evident between 4 and 6 weeks. [41][42][43] H. Small joints Vascularized joints have been used for PIP joint and metacarpophalangeal (MCP) joint reconstruction. Donor joints are the MCP, PIP, and distal interphalangeal joints of the same or neighboring digits.…”

Section: G Vascularized Phalangeal Transfermentioning

confidence: 99%

“…[41][42][43] Pedicled periosteal flaps from the metacarpals not only retain the skeletal contour but also reduce the risk of adhesion formation between the bone and the tendons. 4 As stated earlier, the vascularized radius bone graft with the radial forearm flap combination is an alternative treatment option in thumb reconstruction.…”

Section: Metacarpals and Phalangesmentioning

confidence: 99%

Vascularized Bone Grafts for Upper Limb Reconstruction: Defects at the Distal Radius, Wrist, and Hand

Malizos

Dailiana

Innocenti

et al. 2010

The Journal of Hand Surgery

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“…Homodigital middle to distal phalanx vascularized bone transfer has also been described . Alternatively, free vascularized bone grafts for distal digit reconstruction have been performed, with hemi‐metatarsal, partial toe, hemi‐hamate, and second metacarpal based on anterograde SDMA flow all described …”

mentioning

confidence: 99%

Reverse second dorsal metacarpal artery vascularized bone flap for index distal bone loss: A case report

2015

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Fingertip trauma with resultant bony loss is optimally reconstructed with an autologous bone substitute, offering a unique opportunity for use of a local vascularized bone graft. The second dorsal metacarpal artery is well-described for use in soft tissue and bony reconstruction, with recent cadaveric studies suggesting a reverse-flow second dorsal metacarpal artery bone flap could reach defects in the distal phalanx. The aim of the current report is to illustrate the use of this technique in reconstructing the distal digit in a traumatized index finger with bony loss of the middle third of the distal phalanx. A 49-year-old man presented with a traumatic circular saw injury to his left index finger, with the unique finding of distal phalanx bony loss to the middle third of this bone, with no associated disruption of palmar or dorsal structures. Reconstructive goals were solely that of bony reconstruction, with no soft tissue coverage required. A reverse SDMA vascularized bone flap was successfully used for reconstruction, with the vascularized bone flap mobilized on its reverse SDMA pedicle and pivoted at the level of the distal anastomoses between the palmar and dorsal metacarpal arteries. There was uncomplicated donor and recipient site closures, and good functional outcomes with the ability to retain full distal interphalangeal joint motion and force on distal pinch grip. This case shows that the reverse second dorsal metacarpal artery vascularized bone flap may be undertaken to reconstruct bony loss in the distal phalanx.

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Vascularized Bone Blocks From the Toe Phalanx to Solve Complex Intercalated Defects in the Fingers

Cited by 38 publications

References 40 publications

Super-Thinned Iliac Flap for Major Defects on the Elbow and Wrist Flexion Creases

Super-Thinned Iliac Flap for Major Defects on the Elbow and Wrist Flexion Creases

Vascularized Bone Grafts for Upper Limb Reconstruction: Defects at the Distal Radius, Wrist, and Hand

Reverse second dorsal metacarpal artery vascularized bone flap for index distal bone loss: A case report

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