Fibular Allograft Osteoplasty and Silicone Arthroplasty following Gunshot Injury of the Metacarpal
Summary:. The complexity of a gunshot wound to the hand with segmental bone loss and adjacent joint disruption presents a unique challenge for the reconstructive surgeon. There are several options for posttraumatic reconstruction of hand joint defects, ranging from arthrodesis, implants, and autolog...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2023-11-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005369 |
| _version_ | 1797449533144170496 |
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| author | Cassandra R. Driscoll, MD, MPH Amelia L. Davidson, BS Olga Schuth, MD Michael Reynolds, MD |
| author_facet | Cassandra R. Driscoll, MD, MPH Amelia L. Davidson, BS Olga Schuth, MD Michael Reynolds, MD |
| author_sort | Cassandra R. Driscoll, MD, MPH |
| collection | DOAJ |
| description | Summary:. The complexity of a gunshot wound to the hand with segmental bone loss and adjacent joint disruption presents a unique challenge for the reconstructive surgeon. There are several options for posttraumatic reconstruction of hand joint defects, ranging from arthrodesis, implants, and autologous arthroplasty. Despite the abundance of literature regarding guidelines for isolated osteoplasty and arthroplasty, there are only case reports describing management of bone and joint defects, all within the setting of cancer resection. This case report presents a 24-year-old, right-hand dominant man with a gunshot wound to his left hand involving the fifth metacarpal and metacarpal phalangeal joint. The metacarpal was reconstructed with a fibular bone allograft with simultaneous placement of a silicone arthroplasty implant, allowing preservation of motion at the metacarpal phalangeal joint with satisfactory functional outcomes. This illustrates the feasibility of successfully reconstructing segmental bone loss and adjacent joint defects simultaneously in the traumatic setting of firearm injuries. |
| first_indexed | 2024-03-09T14:26:20Z |
| format | Article |
| id | doaj.art-f552250481704cabbde76455ab1d7711 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-03-09T14:26:20Z |
| publishDate | 2023-11-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-f552250481704cabbde76455ab1d77112023-11-28T07:10:12ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-11-011111e536910.1097/GOX.0000000000005369202311000-00002Fibular Allograft Osteoplasty and Silicone Arthroplasty following Gunshot Injury of the MetacarpalCassandra R. Driscoll, MD, MPH0Amelia L. Davidson, BS1Olga Schuth, MD2Michael Reynolds, MD3From the * Department of Plastic and Reconstructive Surgery, Wake Forest University, Winston-Salem, N.C.From the * Department of Plastic and Reconstructive Surgery, Wake Forest University, Winston-Salem, N.C.† Division of Plastic and Reconstructive Surgery, Virginia Commonwealth University, Richmond, Va.From the * Department of Plastic and Reconstructive Surgery, Wake Forest University, Winston-Salem, N.C.Summary:. The complexity of a gunshot wound to the hand with segmental bone loss and adjacent joint disruption presents a unique challenge for the reconstructive surgeon. There are several options for posttraumatic reconstruction of hand joint defects, ranging from arthrodesis, implants, and autologous arthroplasty. Despite the abundance of literature regarding guidelines for isolated osteoplasty and arthroplasty, there are only case reports describing management of bone and joint defects, all within the setting of cancer resection. This case report presents a 24-year-old, right-hand dominant man with a gunshot wound to his left hand involving the fifth metacarpal and metacarpal phalangeal joint. The metacarpal was reconstructed with a fibular bone allograft with simultaneous placement of a silicone arthroplasty implant, allowing preservation of motion at the metacarpal phalangeal joint with satisfactory functional outcomes. This illustrates the feasibility of successfully reconstructing segmental bone loss and adjacent joint defects simultaneously in the traumatic setting of firearm injuries.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005369 |
| spellingShingle | Cassandra R. Driscoll, MD, MPH Amelia L. Davidson, BS Olga Schuth, MD Michael Reynolds, MD Fibular Allograft Osteoplasty and Silicone Arthroplasty following Gunshot Injury of the Metacarpal Plastic and Reconstructive Surgery, Global Open |
| title | Fibular Allograft Osteoplasty and Silicone Arthroplasty following Gunshot Injury of the Metacarpal |
| title_full | Fibular Allograft Osteoplasty and Silicone Arthroplasty following Gunshot Injury of the Metacarpal |
| title_fullStr | Fibular Allograft Osteoplasty and Silicone Arthroplasty following Gunshot Injury of the Metacarpal |
| title_full_unstemmed | Fibular Allograft Osteoplasty and Silicone Arthroplasty following Gunshot Injury of the Metacarpal |
| title_short | Fibular Allograft Osteoplasty and Silicone Arthroplasty following Gunshot Injury of the Metacarpal |
| title_sort | fibular allograft osteoplasty and silicone arthroplasty following gunshot injury of the metacarpal |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005369 |
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