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Reconstruction of large posttraumatic skeletal defects of the forearm by vascularized free fibular graft.
- Source :
-
Microsurgery [Microsurgery] 2004; Vol. 24 (6), pp. 423-9. - Publication Year :
- 2004
-
Abstract
- Vascularized bone graft is most commonly applied for reconstruction of the lower extremity; indications for its use in the reconstruction of the upper extremity have expanded in recent years. Between 1993-2000, 12 patients with segmental bone defects following forearm trauma were managed with vascularized fibular grafts: 6 males and 6 females, aged 39 years on average (range, 16-65 years). The reconstructed site was the radius in 8 patients and the ulna in 4. The length of bone defect ranged from 6-13 cm. In 4 cases, the fibular graft was harvested and used as a vascularized fibula osteoseptocutaneous flap. To achieve fixation of the grafted fibula, plates were used in 10 cases, and screws and Kirschner wires in 2. In the latter 2 cases, an external skeletal fixator was applied to ensure immobilization of the extremity. The follow-up period ranged from 10-93 months. Eleven grafts were successful. The mean period to obtain radiographic bone union was 4.8 months (range, 2.5-8 months). Fibular grafts allow the use of a segment of diaphyseal bone which is structurally similar to the radius and ulna and of sufficient length to reconstruct most skeletal defects of the forearm. The vascularized fibular graft is indicated in patients with intractable nonunions where conventional bone grafting has failed or large bone defects, exceeding 6 cm, are observed in the radius or ulna.<br /> ((c) 2004 Wiley-Liss, Inc.)
- Subjects :
- Adolescent
Adult
Aged
Bone Plates
Bone Transplantation pathology
Bone Wires
External Fixators
Female
Fibula blood supply
Follow-Up Studies
Fracture Healing
Fractures, Open surgery
Fractures, Ununited surgery
Graft Survival
Humans
Male
Middle Aged
Radius Fractures surgery
Skin Transplantation methods
Surgical Flaps blood supply
Treatment Outcome
Ulna Fractures surgery
Bone Transplantation methods
Forearm Injuries surgery
Plastic Surgery Procedures
Subjects
Details
- Language :
- English
- ISSN :
- 0738-1085
- Volume :
- 24
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Microsurgery
- Publication Type :
- Academic Journal
- Accession number :
- 15378573
- Full Text :
- https://doi.org/10.1002/micr.20067