| Distraction lengthening of the thumb metacarpal is an alternative in thumb reconstruction suitable for subtotal amputation then the basal joint and thenar muscles are still present. |
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| The initial lawnmower injury.. |
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| Treated with completion of the thumb amputation, external fixation of the distal radius fracture and primary metacarpophalangeal arthrodesis of the fingers. |
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| Following this, the thumb soft tissue cover was inadequate and was augmented with a groin flap. |
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| The thumb was lengthened over a period of six weeks with an external fixator. |
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| Xrays at the beginning and end of the distraction process. |
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| Initial and final result, with an intercalated bone graft. |
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| Interim result. Flap debulking has since been performed. |
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| Excellent pinch strength. |
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metacarpal lengthening thumb reconstruction metacarpal distraction |
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