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md:metacarpal_hand
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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
md/metacarpal_hand.txt · Last modified: 2020/08/03 12:59 by admin
