Reconstruction of a Complex Defect of the Hand with Two Distinct Segments of the Scapula and a Scapular Fascial Flap Transferred as a Single Transplant

Vascularized Medial Femoral Condyle Graft for Thumb Metacarpal Reconstruction: Case Report

“…Many free vascularized bone grafts have also been used for metacarpal reconstruction, including the fibula, iliac crest, scapula, metatarsal, and rib. 9,21,[25][26][27][28] The decision of which vascularized bone graft to use depends on a number of factors at both the donor and recipient sites. Considerations include the size and shape of the osseous defect, the availability and size of recipient vessels, the size and length of donor vessels, the biomechanical requirements for the bone graft, the quality of soft tissue coverage, and the donor site morbidity.…”

Reconstruction of an Entire Metacarpal and Metacarpophalangeal Joint Using a Fibular Osteocutaneous Free Flap and Silicone Arthroplasty

“…Of the 13 bony defects, 7 involved the MCP joints, but arthrodesis was performed in all cases and none of the defects underwent an attempt to preserve motion with a silicone arthroplasty. Other free vascularized bone grafts that have been described for reconstruction of segmental bony defects of the metacarpals include the iliac crest based on the deep circumflex iliac artery, 22,23 scapula based on the circumflex scapular artery, 24,25 and the medial femoral condyle based on the descending genicular artery. 26 None of these vascularized bone grafts have been used to reconstruct a metacarpal defect involving the MCP joint.…”

Bilateral temporoparietal fascial free flaps for reconstruction of bilateral hand defects: A report of two cases

“…A flap to be used for coverage of these defects should be thin enough to provide an acceptable contour as well as a gliding surface for tendon functions. Fascial flaps [6][7][8][9][10][11][12][13][14][15] and adiopofascial flap 16 that are thin, pliable, and well-vascularized seem to fulfill all these requirements. Of the abovementioned flaps, the temporoparietal fascial flap has the least noticeable donor site scar, which is well-hidden by hair growth.…”