=====Metacarpal Hand=====

==== Definition ====

  * classical - all 5 digit - "transverse hemiamputation"
  * but extended definition: e.g. normal thumb, SF, partial thumb and SF

==== Non-micro options ====

  * Phalangization: web deepening, adductor proximal transposition, bone lengthening - interposition or end with flap 
  * interposition only if tip skin is good
  * rotational osteotomy 5th MC to make opposition OK

==== toe transfer ====

  * big toe transfer
  * individual toes vs 2nd-3rd block transfers (Fu WC)

==== Source ====                                                               
  * Dieter Buck-Gramcko's chapter