Three-dimensional virtual planning in precise chimeric fibula free flap for metacarpal defects

Shen, Hui; Shen, Xinyi; Lv, Ying; Lü, Hui; Xu, Jinghong; Wu, Shou-cheng

doi:10.1097/md.0000000000007364

Cited by 2 publications

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“…Further technological innovation has spawned the advent of 3D printing. Stereolithographic models have been particularly useful in delineating anatomy, planning resections, and devising osteotomy guides …”

Section: Introductionmentioning

confidence: 99%

Virtual planning and navigational technology in reconstructive surgery

Shenaq

Matros

2018

Journal of Surgical Oncology

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Reconstructive technologies have expanded to include the use of virtual surgical planning (VSP) and computer-aided design and manufacturing (CAD-CAM), and 3-Dimensional printing. The advantages of VSP over traditional techniques are highlighted in many scenarios: (a) delayed reconstruction, (b) maxillary reconstruction, (c) placement of dental implants, and (d) precision guided oncology. Microsurgery is undergoing a paradigm shift with virtual planning at its foreground. Herein, we describe the versatile uses for CAD-CAM and key operative steps. K E Y W O R D S computer-aided design and manufacturing (CAD-CAM), osseous head and neck reconstruction, virtual surgical planning (VSP) J Surg Oncol. 2018;118:845-852.wileyonlinelibrary.com/journal/jso

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Section: Introductionmentioning

confidence: 99%

Virtual planning and navigational technology in reconstructive surgery

Shenaq

Matros

2018

Journal of Surgical Oncology

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“…We also consider single-stage reconstruction in patients who do not want groin flap or multiple procedures for the reconstruction of complicated hand trauma. We lack the facilities of three-dimensional virtual planning of fibular flap for metacarpal as reported by Shen et al [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Experience of Saving Limbs With Free Fibula Osteocutaneous Flaps

Khan

Rahman

2021

Cureus

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BackgroundComplex wounds of hands and feet have always been a challenge for reconstructive surgeon. We aim to share our experience of reconstruction of such defects using free fibula osteocutaneous flaps. Materials and methodsThis is a retrospective study over a period of six years which was conducted at a tertiary care teaching hospital in Karachi. All patients, who were included and had reconstruction with this flap, agreed to participate in this study. Hospital records were retrieved for patient's demographic details, mode of injury, size of the defect, number of bone loss in the defect, dimensions of flap, size and number of bony segments in each flap. Outcomes were recorded in terms of flap survival and secondary procedures, with postoperative radiographs. ResultsIn 14 patients, 25 (80.5%) metacarpals and 6 (19.5%) metatarsals defects were reconstructed. K-wires were used for bony stabilization and were removed at 8 weeks post-operatively. Only two flaps were re-explored due to venous congestion. Minor wound dehiscence was noted in two flaps which were managed conservatively. ConclusionProper planning and meticulous flap dissection and inset using free fibula flap can save many hand and foot from amputations

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Three-dimensional virtual planning in precise chimeric fibula free flap for metacarpal defects

Abstract: Supplemental Digital Content is available in the text

Cited by 2 publications

References 20 publications

Virtual planning and navigational technology in reconstructive surgery

Virtual planning and navigational technology in reconstructive surgery

Experience of Saving Limbs With Free Fibula Osteocutaneous Flaps

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