تقرير
The Use of External Fixator and Iliac Crest Bone Graft in Traumatic Metacarpal Bone Defect.
| العنوان: | The Use of External Fixator and Iliac Crest Bone Graft in Traumatic Metacarpal Bone Defect. |
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| المؤلفون: | Korkmaz O; Department of Orthopedics and Traumatology, Istanbul Medipol University, Istanbul, Turkey., Abourdan J; Department of Orthopedics and Traumatology, Istanbul Medipol University, A Medical Student in the Medical Faculty, Istanbul, Turkey., Birinci M; Department of Orthopedics and Traumatology, Istanbul Medipol University, Istanbul, Turkey., Bostanci B; Department of Orthopedics and Traumatology, Istanbul Medipol University, Istanbul, Turkey., Kara A; Department of Orthopedics and Traumatology, Istanbul Medipol University, Istanbul, Turkey. |
| المصدر: | Journal of orthopaedic case reports [J Orthop Case Rep] 2022 Dec; Vol. 12 (12), pp. 43-49. |
| نوع المنشور: | Case Reports |
| اللغة: | English |
| بيانات الدورية: | Publisher: Indian Orthopaedic Research Group Country of Publication: India NLM ID: 101641392 Publication Model: Print Cited Medium: Print ISSN: 2250-0685 (Print) Linking ISSN: 22500685 NLM ISO Abbreviation: J Orthop Case Rep Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Maharashtra, India : Indian Orthopaedic Research Group |
| مستخلص: | Introduction: Metacarpal bone fractures often lead to significant shortening in the phalanges; it can be caused by variable conditions, ranging from idiopathic, and infective to traumatic causes. There are very rare reports of metacarpals shortening in idiopathic primary hypoparathyroidism cases in the literature. Traumatic metacarpal shortening differs from congenital agenesis [2]. This condition leads to both functional and cosmetic limitations which affect the patient's quality of life. Case Report: A 22-year-old male patient was admitted to our outpatient clinic with a traumatic left-hand fracture that caused a bone defect in the second metacarpal shaft leading to bone loss, shortening and flexion limitation in the second finger of the left hand, and a flexion contracture in the first metacarpophalangeal joint. For the treatment plan, an external fixator was set on the second metacarpal of the left hand for a 23 mm elongation over a period of 58 days, elongation rate was organized as 1 mm/day. After achieving the planned elongation, another operation was planned for the reconstruction of the bone defect that has occurred due to trauma in the second metacarpal bone. An osteotomy was performed for extracting an iliac crest graft and inserting it into the bone defect after debridement of scar tissue. For the first metacarpophalangeal joint, an arthrodesis was performed through the use of plate and screws. Multiple studies have showed a common complication of pin tract infections, which were controlled with oral antibiotics and local wound care [10, 11]. Proper alignment and union were achieved with early, stable fracture fixation of low-velocity gunshot wounds of the metacarpal. With early rehabilitation, treatment was provided without an increase in morbidity. [11]. Conclusion: It is possible to obtain acceptable surgical results when the method of fixation of the defect with autograft is used after lengthening with external fixator in pseudoarthrosis with metacarpal defect. Competing Interests: Conflict of Interest: Nil (Copyright: © Indian Orthopaedic Research Group.) |
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| فهرسة مساهمة: | Keywords: Metacarpal fracture; metacarpal defect; metacarpal lengthening/elongation; metacarpal shortening |
| تواريخ الأحداث: | Date Created: 20230414 Latest Revision: 20230415 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC10088377 |
| DOI: | 10.13107/jocr.2022.v12.i12.3458 |
| PMID: | 37056598 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2250-0685 |
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| DOI: | 10.13107/jocr.2022.v12.i12.3458 |