Clavicular reconstruction with free fibula flap: A report of four cases and review of the literature

Abarca, Jaysoom; Valle, Pablo; Valenti, Ph.

doi:10.1016/j.injury.2013.01.026

Cited by 24 publications

(23 citation statements)

References 43 publications

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“…3,4,8,9 A common problem with wire fixation reported at short-term follow-up by others and us is limitation in shoulder elevation and the potential for AC-joint subluxation. 4,8,9 Instead of stabilizing the AC joint with a K-wire, we have shown here that long-term fixation of the allograft with a modified Richardson hook plate provides full range of shoulder motion without risk of subluxation of the AC joint, thereby providing better functional outcome for the patient.…”

Section: Discussionmentioning

confidence: 89%

A 10-year Follow-up of a Free Vascularized Fibula Flap Clavicle Reconstruction in an Adult

Ye¹,

Taylor²

2017

Plastic and Reconstructive Surgery - Global Open

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Summary:The free vascularized fibula flap has been widely used for clavicle reconstruction. Limited evidence exists for the long-term outcome of clavicle reconstruction using the free vascularized fibula flap in adults. We report the functional and aesthetic outcome in a 52-year old man a decade after clavicle reconstruction using a free vascularized fibula flap in combination with a modified Richardson Hook Plate. At the 10-year follow-up, panoramic shoulder X-ray showed the modified Richardson Hook Plate had remained firmly in place with the fibula and the hook positioned beneath the acromion. Functionally, the patient presented with a constant shoulder score of 77, with a pain-free symmetrical full range of motion. In conclusion, reconstruction of lateral clavicle defect using free vascularized fibula flap in conjunction with modified Richardson Hook plate may provide patients with excellent long-term functional and aesthetic outcomes.

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Section: Discussionmentioning

confidence: 89%

A 10-year Follow-up of a Free Vascularized Fibula Flap Clavicle Reconstruction in an Adult

Ye¹,

Taylor²

2017

Plastic and Reconstructive Surgery - Global Open

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“…This report describes such an approach for the planning and treatment of a complex revision case. Long-term outcome was described in detail, as this has been lacking in previous publications 6.…”

Section: Discussionmentioning

confidence: 99%

“…Free fibula transfer has become a frequently used technique for the reconstruction of long bone defects, especially at the level of the upper extremity 7. Because of its abundant vascularity, the osteocutaneous free fibula flap stimulates osteogenesis with new healthy and vascularized tissue in an atrophic or septic environment 6, making it an interesting treatment strategy in cases of FRI. In case of the clavicle, the thoracoacromial trunk artery and vein as well as the descending genicular vessels are constantly present and are therefore available for reliable microsurgical anastomoses 11.…”

Section: Discussionmentioning

confidence: 99%

Segmental Bone Loss of the Clavicle due to Fracture-Related Infection: A Multidisciplinary Challenge

Goormans

Vranckx

Herteleer

et al. 2019

J. Bone Joint Infect.

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“…Vascularized fibula grafts are often used in defects >5 cm, when donor site morbidity is of concern, such as with the iliac bone, or when allograft use is contraindicated, as in the setting of infection . The vascularized fibula has also been described in reconstruction of femoral shaft segmental deficits, the tibia, and the clavicle …”

Section: Discussionmentioning

confidence: 99%

“…18 The vascularized fibula has also been described in reconstruction of femoral shaft segmental deficits, 4-6 the tibia, 5 and the clavicle. 21 Other vascularized graft options for our patient included a vascularized iliac graft and a vascularized scapular tip free graft. The vascularized iliac graft has been harvested up to 14-16 cm long and 4-6 cm wide.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of ulnar defect with vascularized rib graft: A case report

et al. 2015

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This case report describes the reconstruction of a segmental ulnar defect using a vascularized rib graft. A 27-year-old man was injured during military service by an improvised explosive device, resulting in bilateral through-the-knee amputations, left hand deformity, and a segmental left ulnar defect. After unsuccessful ulnar reconstruction with nonvascularized autologous bone and allograft bone substitutes, he presented to our institution. We removed the residual allograft fragments from the ulnar defect, harvested a vascularized left sixth rib with the intercostal artery and vein, secured the construct with internal hardware, and performed microanastomoses of the intercostal artery and vein to the posterior interosseous artery and vein. Postoperatively, he had a hematoma at the vascularized graft recipient site caused by anticoagulation therapy for his chronic deep vein thrombosis. Despite this, the rib graft successfully incorporated on the basis of radiographic and clinical examinations at 27 months. He had no pain and good function of the arm. The results of this case suggest that a vascularized rib graft for forearm reconstruction may be a viable option with minimal donor site morbidity. © 2015 Wiley Periodicals, Inc. Microsurgery 37:160-164, 2017.

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Clavicular reconstruction with free fibula flap: A report of four cases and review of the literature

Cited by 24 publications

References 43 publications

A 10-year Follow-up of a Free Vascularized Fibula Flap Clavicle Reconstruction in an Adult

A 10-year Follow-up of a Free Vascularized Fibula Flap Clavicle Reconstruction in an Adult

Segmental Bone Loss of the Clavicle due to Fracture-Related Infection: A Multidisciplinary Challenge

Reconstruction of ulnar defect with vascularized rib graft: A case report

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