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The sophisticated mechanics of the hand and wrist are made possible by their highly complex osseous and ligamentous anatomy (Malizos KN et al. J Hand Surg Am 35(10):1710–1718. https://doi.org/10.1016/j.jhsa.2010.08.006 , 2010). In the case of wrist and carpal reconstruction, accurate and precise graft design and osteotomies are paramount to achieving favorable outcomes and avoiding poor mechanics and degeneration of the joint. Regarding reconstruction of the radius or ulna, restoring or maintaining the three-column structure of the wrist joint is critical for the stability and durability (Liu W et al. Orthop Surg 13(2):376–383. https://doi.org/10.1111/os.12737 , 2021; Schweizer A et al. J Hand Surg Am 41(1):59–69. https://doi.org/10.1016/J.JHSA.2015.10.009 , 2016). The application of three-dimensional modeling and virtual surgical planning can circumvent these problems by facilitating precise presurgical planning in resection of native bone and the shaping and inset of grafted bone flaps (Houdek MT et al. Tech Hand Up Extrem Surg 20(3):117–124. https://doi.org/10.1097/BTH.0000000000000129 , 2016).

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Bone Free Flaps for Wrist Reconstruction

  • 章节

  • 发表日期：

    2025年

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  • Lynn M. Orfahli,
  • Matthew L. Iorio

摘要

The sophisticated mechanics of the hand and wrist are made possible by their highly complex osseous and ligamentous anatomy (Malizos KN et al. J Hand Surg Am 35(10):1710–1718. https://doi.org/10.1016/j.jhsa.2010.08.006 , 2010). In the case of wrist and carpal reconstruction, accurate and precise graft design and osteotomies are paramount to achieving favorable outcomes and avoiding poor mechanics and degeneration of the joint. Regarding reconstruction of the radius or ulna, restoring or maintaining the three-column structure of the wrist joint is critical for the stability and durability (Liu W et al. Orthop Surg 13(2):376–383. https://doi.org/10.1111/os.12737 , 2021; Schweizer A et al. J Hand Surg Am 41(1):59–69. https://doi.org/10.1016/J.JHSA.2015.10.009 , 2016). The application of three-dimensional modeling and virtual surgical planning can circumvent these problems by facilitating precise presurgical planning in resection of native bone and the shaping and inset of grafted bone flaps (Houdek MT et al. Tech Hand Up Extrem Surg 20(3):117–124. https://doi.org/10.1097/BTH.0000000000000129 , 2016).