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Updated: Feb 12, 2026

Pseudofracture: An Acute Peripheral Tissue Trauma Model
Published on: April 18, 2011
The Masquelet Technique for Thumb Metacarpal Reconstruction Following Trauma: A Case Report
Zachary C Lum1, Lily Park2, Kathryn E Huff3
1Department of Orthopaedic Surgery, University of California Davis Medical Center, Sacramento, California.
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.
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