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Kohlhauser, M; Vasilyeva, A; Kamolz, LP; Bürger, HK; Schintler, M.
Metacarpophalangeal Joint Reconstruction of a Complex Hand Injury with a Vascularized Lateral Femoral Condyle Flap Using an Individualized 3D Printed Model-A Case Report.
J Pers Med. 2023; 13(11): 1570 Doi: 10.3390/jpm13111570 (- Case Report) [OPEN ACCESS]
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Leading authors Med Uni Graz: Kohlhauser Michael
Co-authors Med Uni Graz: Bürger Karl-Heinz; Kamolz Lars-Peter; Schintler Michael; Vasilyeva Anna
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Abstract:: This case report describes the surgical management of a patient with a complex hand trauma. This injury included tendon, vascular, and nerve injuries, a partial amputation of the index finger, fractures of the third proximal phalanx, and destruction of the metacarpophalangeal joint of the fifth finger. Firstly, the acute treatment of a complex hand injury is described. Secondly, the planning and execution of a joint reconstruction using a vascularized lateral femoral condylar flap, assisted by an individual 3D model, is illustrated. Precise reconstruction of the affected structures resulted in good revascularization as well as an anatomical bone consolidation. Intensive physical therapy, including autonomous proprioceptive range-of-motion exercises by the patient, resulted in significant functional improvement of the hand in daily life. Overall, we report on the successful reconstruction of a metacarpophalangeal joint by using a vascularized flap from the lateral femoral condyle. Furthermore, this case report highlights the efficacy of integrating individualized 3D printing technology to plan complex reconstructions, opening up promising opportunities for personalized and optimized interventions.
Find related publications in this database (Keywords): hand surgery; microsurgery; reconstructive surgery; joint reconstruction; 3D printing; vascularized femoral condyle flap