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An anatomical study of the vascularisation of the first dorsal interosseous space in the hand, and a description of a bony pedicle graft arising from the second metacarpal bone (23.11.90)

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Conclusion

We have used this vascularised bony graft mainly for recurrent pseudarthrosis of the scaphoid bone. An account of our series will be the subject of a future publication.

The use of the vascularised pedicle graft at the expense of the head of the second metacarpal has seemed to us to give encouraging results. The technique, although meticulous, is simple to carry out. The good vascularisation of the graft is assured through the large amount of fatty and connective tissue around the base of the pedicle. The use of vascularised bone in hand surgery has been shown to be useful. This graft, easy to raise, has through the length of its pedicle, a limited displacement. Other donor sites do not have the advantages described here.

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References

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Brunelli, F., Brunelli, G. & Nanfito, F. An anatomical study of the vascularisation of the first dorsal interosseous space in the hand, and a description of a bony pedicle graft arising from the second metacarpal bone (23.11.90). Surg Radiol Anat 13, 73–75 (1991). https://doi.org/10.1007/BF01623150

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  • DOI: https://doi.org/10.1007/BF01623150

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