[Clinical application of groin skin and iliac bone composite graft in contracture of first web space and reconstruction of pollicis opponens function].

Objective: To investigate the therapeutic effects of the groin skin and iliac bone composite graft on the repair of severe contracture of the first web space and one-stage reconstruction of the pollicis opponens function under the condition of no ideal muscle or tendon used.

Methods: From July 2003 to February 2006, 5 patients (4 males, 1 females; age range, 20-38 years) with severe contracture of the first web space with loss of the pollicis opponens function were treated by the groin skin and iliac bone composite graft, with the clinical observation performed. The defect was caused by a crush injury in 3 patients, by an explosion injury in 1 patient, and by a wrist joint mutilation injury in 1 patient.