Vascularized bone grafts for post-traumatic defects in the upper extremity
| Autor: | Filippo Pantaleoni, Roberto Adani, Daniele Tosi, Giovanna Petrella |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Microsurgery medicine.medical_treatment lcsh:Surgery Free flap Review Article 030230 surgery Bone grafting Graft 03 medical and health sciences 0302 clinical medicine medicine Humerus Fibula Bone Hand/Peripheral Nerve 030222 orthopedics Cortico-periosteal business.industry Osteomyelitis Ulna lcsh:RD1-811 medicine.disease Surgery medicine.anatomical_structure Vascularized bone business |
| Zdroj: | Archives of Plastic Surgery Archives of Plastic Surgery, Vol 48, Iss 1, Pp 84-90 (2021) |
| ISSN: | 2234-6171 2234-6163 |
| Popis: | Vascularized bone grafts (VBGs) are widely employed to reconstruct upper extremity bone defects. Conventional bone grafting is generally used to treat defects smaller than 5–6 cm, when tissue vascularization is adequate and there is no infection risk. Vascularized fibular grafts (VFGs) are mainly used in the humerus, radius or ulna in cases of persistent non-union where traditional bone grafting has failed or for bone defects larger than 6 cm. Furthermore, VFGs are considered to be the standard treatment for large bone defects located in the radius, ulna and humerus and enable the reconstruction of soft-tissue loss, as VFGs can be harvested as osteocutaneous flaps. VBGs enable one-stage surgical reconstruction and are highly infection-resistant because of their autonomous vascularization. A vascularized medial femoral condyle (VFMC) free flap can be used to treat small defects and non-unions in the upper extremity. Relative contraindications to these procedures are diabetes, immunosuppression, chronic infections, alcohol, tobacco, drug abuse and obesity. The aim of our study was to illustrate the use of VFGs to treat large post-traumatic bone defects and osteomyelitis located in the upper extremity. Moreover, the use of VFMC autografts is presented. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|