PMID: 16518250Mar 7, 2006Paper

Applications of the vascularized fibula for upper extremity reconstruction

Techniques in Hand & Upper Extremity Surgery
Christoph Heitmann, L Scott Levin

Abstract

There are limited reconstructive options for segmental bone defects of the upper extremity larger than 6 cm in length, especially when associated with soft-tissue loss. Among the limited treatment options the osteoseptocutaneous fibular transplant is well established. The anatomy is reliable, the blood supply is constant, and the operative technique can be standardized. The advantage of including skin with the vascularized fibular transplant is twofold. First, the skin paddle can be used to augment the soft-tissue envelope. Second, the skin paddle serves as a monitor, providing an immediate, ongoing, and reliable method to monitor the blood flow to the graft. The osteoseptocutaneous fibular transplant proved to be an effective treatment of combined segmental bony and soft-tissue defects of the forearm and humerus.

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Citations

Mar 1, 2014·Clinical Orthopaedics and Related Research·Eugenia H ChoScott T Hollenbeck
May 12, 2010·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Adrienne SlaughterSteven McPhail
Aug 9, 2008·Injury·Danru Wang, L Scott Levin
Jun 12, 2009·Techniques in Hand & Upper Extremity Surgery·Maria Isabel de Castro OliveiraJosé M Amarante
Jan 14, 2011·Plastic and Reconstructive Surgery·Oren Z LermanL Scott Levin
Nov 4, 2009·The Journal of Bone and Joint Surgery. American Volume·Jesse B JupiterRobert W Wysocki

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