A functional “metacarpal-hand” after a firework injury obtained without any flap or toe-transfer.

Marco D'Orio; Giuseppe Taccardo; Marco Passiatore; Giulia Macrì; Marta Starnoni; Rocco De Vitis

doi:10.23750/abm.v94iS2.13686

A functional “metacarpal-hand” after a firework injury obtained without any flap or toe-transfer.

Authors

Marco D'Orio a:1:{s:5:"en_US";s:95:"Department of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.";} https://orcid.org/0000-0002-5569-8210
Giuseppe Taccardo
Marco Passiatore
Giulia Macrì
Marta Starnoni
Rocco De Vitis

DOI: https://doi.org/10.23750/abm.v94iS2.13686

Keywords:

Fireworks, mangled extremities, hand, reconstructive surgery, bone graft.

Abstract

A 37-year old male patient with a right-hand firework injury. An extreme hand reconstruction was performed. The second and third rays were sacrificed enlarging the first space. The diaphysis of the second metacarpal bone became a tubular graft to reconstruct the fourth metacarpal. The thumb consisted only in the first metacarpal bone. The result was satisfactory, according to the wishes and needs of the patient, a three-finger hand with an opposable thumb, obtained in only one surgical treatment and without using free flaps. The concept of an “acceptable hand” is related to the surgeon’s and patient’s opinions.

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