case_images: PMC6084498_01
case_images: Case 1: a 58-year-old female. (A) Preoperative radiograph (dorsoplantar view) of the right hand showing dislocation of the first carpometacarpal joint. (B) Immediately postoperative radiograph after the first surgery. (C) Radiography at 6 months after the first surgery showing nonunion. (D) Intraoperative photograph of the second metacarpal artery. (E) Photograph of the vascularized bone graft at the time of harvesting. (F) Photograph of the vascularized bone graft at the time of transferal to the first carpometacarpal joint.
case_images: ICRP_A_1493930_F0002_C.jpg
case_images: PMC6084498_01_ICRP_A_1493930_F0002_C.jpg
case_images: F0002
case_images: The patient was treated with a vascularized bone graft from the second metacarpal base and plate fixation (Figures 2 and 3).
case_images: Case 1: a 58-year-old female. (A) Immediately postoperative radiograph of the right hand (dorsoplantar view) after the second surgery. (B) At 2 months after the second surgery, radiography confirmed bony union.
case_images: ICRP_A_1493930_F0003_B.jpg
case_images: PMC6084498_01_ICRP_A_1493930_F0003_B.jpg
case_images: F0003
case_images: The patient was treated with a vascularized bone graft from the second metacarpal base and plate fixation (Figures 2 and 3).
case_images: PMC6084498_02
case_images: Case 2: a 78-year-old female. (A) Preoperative computed tomography showing thumb carpometacarpal arthritis with marked osteoporosis. (B) Intraoperative photograph of the second metacarpal artery. (C) Photograph of the vascularized bone graft at the time of transferal to the first carpometacarpal joint. (D) Radiography at 2 months postoperatively confirmed bony union.
case_images: ICRP_A_1493930_F0004_C.jpg
case_images: PMC6084498_02_ICRP_A_1493930_F0004_C.jpg
case_images: F0004
case_images: Following failure of conservative treatment, the patient underwent arthrodesis using a vascularized second metacarpal base bone graft and two crossed cannulated compression screws (Figure 4).