Reverse Segmental Pedicled Ulna Transfer as a Salvage Procedure in Wrist Fusion.

Autor: GERMANN, G., SAUERBIER, M., STEINAU, H. U., WOOD, M. B.
Zdroj: Journal of Hand Surgery (17531934); Dec2001, Vol. 26 Issue 6, p589-592, 4p
Abstrakt: A new technique for wrist fusion using vascularized bone graft is described. A distally based, pedicled segment of the distal ulna, nourished by the ulnar artery or the distally based palmar-ulnar branch of the anterior interosseus artery was used in three patients to restore carpal height after infection (n = 2) or tumour resection (n = 1). The forearm is converted to a situation similar to a wide ulnar resection. All three wrist fusions healed uneventfully. This new technique is suitable in cases where a vascularized bone graft is required, but microsurgical techniques are not appropriate or are rejected by the patient. [ABSTRACT FROM PUBLISHER]
Databáze: Complementary Index