Reconstruction of posttraumatic bone defects of the humerus with vascularized fibular graft

Adani, Roberto; Delcroix, Luca; Tarallo, Luigi; Baccarani, Alessio; Innocenti, Marco

doi:10.1016/j.jse.2007.12.011

Cited by 24 publications

(20 citation statements)

References 34 publications

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“…Vascularized fibular grafting offers the patient a great deal of benefit and also complications such as infection, recurrent non-union transient palsy of the radial nerve occur in only 7% to 10% of cases [4]. Stress fracture is a more common event (10 to 15%) [5] …”

Section: Discussionmentioning

confidence: 99%

Vascularized fibular graft for chronic osteomyelitis of humerus in a 10 years child

Belsare

Thakkar

Sharoff

et al. 2015

Int Jour of Biomed Res

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Introduction: Reconstruction of large skeletal defects secondary to osteomyelitis remains a challenging problem. Free vascularized bone can be used to reconstruct large skeletal defects greater than 6 cm or bone defects of smaller size that failed to heal with nonvascularized bone grafting. There are only few case reports which describe it in such a young age group. Case report: We report a case of a 9 years male child with a right proximal humerus osteomyelitic defect treated with a vascularized fibular graft and plating with a 6 months follow up having a satisfactory functional outcome. Conclusion: Free vascularized fibula transfer is an efficient technique for exceptional cases of multi-operated and aseptic resistant non-union with bone defect of the humerus. The indications for vascularized bone grafting are skeletal defects greater than 6 cm or smaller defects that have failed to heal with nonvascular bone graft with a reported success rate of 77%-90%.

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Section: Discussionmentioning

confidence: 99%

Vascularized fibular graft for chronic osteomyelitis of humerus in a 10 years child

Belsare

Thakkar

Sharoff

et al. 2015

Int Jour of Biomed Res

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“…We treated an 8-year-old male with a free fibula VBG following resection of a chondrosarcoma from his left humerus [ Figure 5]. Free fibula VBGs are a good option for bone gaps greater than 6-7 cm, and have been found in other reports to reliably achieve union at approximately 6 months [4] . A recent systematic review of free fibula flap reconstruction of humeral bone defects after oncologic resection found 93% union in an average of 5 months [5] .…”

Section: Free Fibula Graft For Oncologic Reconstructionmentioning

confidence: 99%

Reconstruction of extremity long bone defects with vascularized fibula bone grafts

Wee¹,

Ruter²,

Schulz³

et al. 2019

PAR

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Aim: Composite tissue defects encompassing bone and/or isolated bony defects can pose a surgical challenge; however, their reconstruction is critical for successful functional limb salvage. These cases become increasingly problematic as secondary defects, following multiple nonvascularized grafting attempts resulting in complex bony nonunion. Herein, our experience utilizing fibula vascularized bone grafts (VBGs) for bone restoration will be presented to demonstrate their utility in a variety of reconstructions for limb salvage. Methods: This is a case series describing a series of vascularized fibula grafts for extremity reconstruction performed by a single academic surgeon over multiple institutions in seven years. Results: Twenty-seven (27) total VBGs met inclusion criteria and underwent reconstruction for traumatic (16), oncologic (6) and chronic degenerative (5) etiologies. Bony union was achieved in 26 of 27 cases. Conclusion: The decision-making process for bony reconstruction in these scenarios is difficult and multivariable. Fibula VBGs can provide a single-stage solution for autologous bony and soft tissue replacement of large or complex bone defects and can often be superior options compared with non-vascularized bone grafts or non-bone internal fixation techniques. Their osteogenic potential is unmatched by allogenic or synthetic substitutions. These benefits are evident in a variety of clinical settings such as pediatrics, oncology and trauma.

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“…46 It was not until 1991 that a significant series was reported in the literature; 47 some other papers were recently published on this subject. 29,48,49,50,51,52,53 With advancements in microsurgical techniques, vascularized bone grafts have become wellestablished technical resources capable of providing solutions to difficult reconstructive challenges. 32 The use of free fibula flap in the treatment of upper limb diaphyseal nonunions has also gained increased popularity over the last few decades.…”

Section: Vascularized Fibular Graftmentioning

confidence: 99%

“…4 The results of our previous research did not differ very much from these reports: our mean healing time was 6 months (range, 3-13 months) in a series of 13 cases with bony defect ranging from 6 to 16 cm. 53 Among different possible complications, stress fractures of the graft represent a possible event. Vascularized bone grafts have decreased the incidence of stress fractures with respect to conventional bone grafts; 64 their incidence is reported in 15% to 20% of cases.…”

Section: Vascularized Fibular Graftmentioning

confidence: 99%

Reconstruction of Post-Traumatic Bone Defect of the Upper-Limb with Vascularized Fibular Graft

Adani¹,

Tarallo²,

Mugnai³

2012

Bone Grafting

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Reconstruction of posttraumatic bone defects of the humerus with vascularized fibular graft

Cited by 24 publications

References 34 publications

Vascularized fibular graft for chronic osteomyelitis of humerus in a 10 years child

Vascularized fibular graft for chronic osteomyelitis of humerus in a 10 years child

Reconstruction of extremity long bone defects with vascularized fibula bone grafts

Reconstruction of Post-Traumatic Bone Defect of the Upper-Limb with Vascularized Fibular Graft

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