Correction of Congenital Metacarpal Synostosis with Polypropylene Mesh as an Interpositional Material.
10.4055/jkoa.2013.48.4.314
- Author:
Hwa Joon KANG
1
;
Yoon Hae KWAK
Author Information
1. Department of Orthopedic Surgery, Hallym University Sacred Heart Hospital, Anyang, Korea. pedoskwak@hallym.or.kr
- Publication Type:Case Report
- Keywords:
metacarpal bones;
synostosis;
polypropylenes;
surgical mesh
- MeSH:
Congenital Abnormalities;
Hand;
Hernia, Inguinal;
Humans;
Metacarpal Bones;
Metacarpophalangeal Joint;
Osteotomy;
Polypropylenes;
Recurrence;
Surgical Mesh;
Synostosis
- From:The Journal of the Korean Orthopaedic Association
2013;48(4):314-318
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Metacarpal synostosis is an uncommon congenital hand malformation characterized by the coalescence of two or more adjacent metacarpals. Patients visit the hospital due to abduction deformity, which is usually a mild deformity or a minor functional deficit. This is one of the reasons why the patient goes to the hospital late and foregoes proper management with early detection and treatment. A number of surgical procedures ranging from simple to complex have been employed for treatment of this deformity. We describe our experience with a longitudinal osteotomy, realignment of component metacarpals with the metacarpophalangeal joint, and interposition of a non-absorbable polypropylene mesh used for inguinal hernia for correction of the abducted deformity and prevention of recurrence of synostosis while minimizing morbidity.
