## Abstract Large skeletal defects of the upper extremity pose a serious clinical problem with potentially deleterious effects on both function and viability of the limb. Recent advances in the microsurgical techniques involved in free vascularized bone transfers for complex limb injuries have dram
Vascularized fibular graft for management of severe osteomyelitis of the upper extremity
β Scribed by Rames Mattar Jr.; Ronaldo J. Azze; Marcus Castro Ferreira; Regina Starck; Antonio Carlos Canedo
- Publisher
- John Wiley and Sons
- Year
- 1994
- Tongue
- English
- Weight
- 537 KB
- Volume
- 15
- Category
- Article
- ISSN
- 0738-1085
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β¦ Synopsis
Abstract
The authors analyzed 14 patients with severe osteomyelitis of the upper extremity between 1985 and 1992, managed with the vascularized fibular graft. Eleven radii, two humeri and one ulna were reconstructed. Bone loss after resection ranged from 6 to 12 cm (mean 8.14 cm). Followβup ranged from 8 months to 7 years and 10 months (mean 3 years and 3 months). The therapeutic applications of the vascularized fibular graft in severe bone infections of the upper extremity were discussed and the good results of this surgical procedure established it as a good option for treatment. Morbidity at the donor site was minimal. Β© 1994 WileyβLiss, Inc.
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## Abstract Large osseous defects of the upper extremity can be a challenging problem for the reconstructive surgeon. There are numerous treatment options reported in the literature with variable results. We review our experience with the vascularizedβfibular osteocutaneous graft for these complex
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