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KMID : 0361620130480040314
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Journal of the Korean Orthopaedic Association
2013 Volume.48 No. 4 p.314 ~ p.318
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Correction of Congenital Metacarpal Synostosis with Polypropylene Mesh as an Interpositional Material
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Kang Hwa-Jun
Kwak Yoon-Hae
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Abstract
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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.
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KEYWORD
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metacarpal bones, synostosis, polypropylenes, surgical mesh
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