Zachary C Lum1, Lily Park2, Kathryn E Huff3, Mohamed A Ibrahim3. 1. Department of Orthopaedic Surgery, University of California Davis Medical Center, Sacramento, California. 2. Department of Internal Medicine, California Pacific Medical Center, Davies Campus, San Francisco, California. 3. Department of Orthopaedic Surgery, Doctors Medical Center, Modesto, California.
Abstract
CASE: We describe an unusual case of an isolated close-range shotgun injury to the thumb with substantial osseous loss and intact vascularity, followed by treatment with the Masquelet technique and iliac crest tricortical bone autograft reconstruction. CONCLUSION: Gunshot injuries to the thumb with concomitant soft-tissue and osseous loss are devastating. Reconstruction depends on the level of the injury, the severity of the soft-tissue and osseous damage, and the viability of the digit, as well as patient factors, including occupation, physical demands, and expectations.
CASE: We describe an unusual case of an isolated close-range shotgun injury to the thumb with substantial osseous loss and intact vascularity, followed by treatment with the Masquelet technique and iliac crest tricortical bone autograft reconstruction. CONCLUSION: Gunshot injuries to the thumb with concomitant soft-tissue and osseous loss are devastating. Reconstruction depends on the level of the injury, the severity of the soft-tissue and osseous damage, and the viability of the digit, as well as patient factors, including occupation, physical demands, and expectations.