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- W4280565581 abstract "Metacarpal nonunion is a rare outcome of metacarpal injury, and little has been published about its management. Care typically includes open reduction and internal fixation with a possible bone graft, similar to the treatment of other nonunions. However, there is no literature guidance if traditional methods do not lead to union. To improve the treatment of these recalcitrant metacarpal diaphyseal nonunions, we proposed a new surgical technique using a top hat bone graft harvested from the iliac crest. The graft is carefully shaped to create a cancellous crown, which is inserted into the nonunion site, and cortical brims, which are used to secure the graft to the metacarpal. This has been successful in treating 2 cases of metacarpal nonunion that failed to heal with first-line intervention." @default.
- W4280565581 created "2022-05-22" @default.
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- W4280565581 date "2022-07-01" @default.
- W4280565581 modified "2023-10-18" @default.
- W4280565581 title "The Iliac Crest Top Hat Bone Graft for Challenging Metacarpal Nonunion" @default.
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- W4280565581 doi "https://doi.org/10.1016/j.jhsa.2022.03.020" @default.
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