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...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2023-03-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004882 |
| _version_ | 1827979165314318336 |
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| author | Shingo Komura, MD, PhD Akihiro Hirakawa, MD, PhD Hitoshi Hirose, MD Haruhiko Akiyama, MD, PhD |
| author_facet | Shingo Komura, MD, PhD Akihiro Hirakawa, MD, PhD Hitoshi Hirose, MD Haruhiko Akiyama, MD, PhD |
| author_sort | Shingo Komura, MD, PhD |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-04-09T21:32:53Z |
| format | Article |
| id | doaj.art-bd8c02066fa14a74bc888b3d7f98b3ce |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-09T21:32:53Z |
| publishDate | 2023-03-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-bd8c02066fa14a74bc888b3d7f98b3ce2023-03-27T06:47:44ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-03-01113e488210.1097/GOX.0000000000004882202303000-00053First Dorsal Metacarpal Artery-pedicled Second Metacarpal Vascularized Bone Graft for Nonunion after Thumb Carpometacarpal ArthrodesisShingo Komura, MD, PhD0Akihiro Hirakawa, MD, PhD1Hitoshi Hirose, MD2Haruhiko Akiyama, MD, PhD3From the Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Gifu, Japan.From the Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Gifu, Japan.From the Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Gifu, Japan.From the Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Gifu, Japan.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.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004882 |
| spellingShingle | Shingo Komura, MD, PhD Akihiro Hirakawa, MD, PhD Hitoshi Hirose, MD Haruhiko Akiyama, MD, PhD First Dorsal Metacarpal Artery-pedicled Second Metacarpal Vascularized Bone Graft for Nonunion after Thumb Carpometacarpal Arthrodesis Plastic and Reconstructive Surgery, Global Open |
| 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 |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004882 |
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