Three-dimensional virtual planning in precise chimeric fibula free flap for metacarpal defects: A case report.

ABSTRACT:

Rationale

Metacarpal and phalanx defects with soft tissue loss were suggested to be reconstructed by vascularized bone flap. The fibular osteocutaneous flap is a preferred method. Three-dimensional virtual planning has successfully applied in mandibular reconstruction with fibular free flap. We applied three-dimensional virtual planning in precise fibula flap harvest to maintain the continuity of the fibula and to achieve accurate metacarpal and phalanx reconstruction.

Patient concerns

A 35-year-old male presented with extensive soft tissue defects and first metacarpal defect involving the first metacarpophalangeal joint.

Diagnoses

There were 4 cm of first metacarpal defect involving the first metacarpophalangeal joint and soft tissue defects of 5cm × 3cm + 3cm × 2cm.

SUBMITTER: Shen H 

PROVIDER: S-EPMC5626122 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature