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Vascularized bone grafts for post-traumatic defects in the upper extremity

Vascularized bone grafts (VBGs) are widely employed to reconstruct upper extremity bone defects. Conventional bone grafting is generally used to treat defects smaller than 5–6 cm, when tissue vascularization is adequate and there is no infection risk. Vascularized fibular grafts (VFGs) are mainly us...

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Autores principales: Petrella, Giovanna, Tosi, Daniele, Pantaleoni, Filippo, Adani, Roberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Plastic and Reconstructive Surgeons 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7861969/
https://www.ncbi.nlm.nih.gov/pubmed/33503750
http://dx.doi.org/10.5999/aps.2020.00969
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author Petrella, Giovanna
Tosi, Daniele
Pantaleoni, Filippo
Adani, Roberto
author_facet Petrella, Giovanna
Tosi, Daniele
Pantaleoni, Filippo
Adani, Roberto
author_sort Petrella, Giovanna
collection PubMed
description Vascularized bone grafts (VBGs) are widely employed to reconstruct upper extremity bone defects. Conventional bone grafting is generally used to treat defects smaller than 5–6 cm, when tissue vascularization is adequate and there is no infection risk. Vascularized fibular grafts (VFGs) are mainly used in the humerus, radius or ulna in cases of persistent non-union where traditional bone grafting has failed or for bone defects larger than 6 cm. Furthermore, VFGs are considered to be the standard treatment for large bone defects located in the radius, ulna and humerus and enable the reconstruction of soft-tissue loss, as VFGs can be harvested as osteocutaneous flaps. VBGs enable one-stage surgical reconstruction and are highly infection-resistant because of their autonomous vascularization. A vascularized medial femoral condyle (VFMC) free flap can be used to treat small defects and non-unions in the upper extremity. Relative contraindications to these procedures are diabetes, immunosuppression, chronic infections, alcohol, tobacco, drug abuse and obesity. The aim of our study was to illustrate the use of VFGs to treat large post-traumatic bone defects and osteomyelitis located in the upper extremity. Moreover, the use of VFMC autografts is presented.
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spelling pubmed-78619692021-02-10 Vascularized bone grafts for post-traumatic defects in the upper extremity Petrella, Giovanna Tosi, Daniele Pantaleoni, Filippo Adani, Roberto Arch Plast Surg Hand/Peripheral Nerve Vascularized bone grafts (VBGs) are widely employed to reconstruct upper extremity bone defects. Conventional bone grafting is generally used to treat defects smaller than 5–6 cm, when tissue vascularization is adequate and there is no infection risk. Vascularized fibular grafts (VFGs) are mainly used in the humerus, radius or ulna in cases of persistent non-union where traditional bone grafting has failed or for bone defects larger than 6 cm. Furthermore, VFGs are considered to be the standard treatment for large bone defects located in the radius, ulna and humerus and enable the reconstruction of soft-tissue loss, as VFGs can be harvested as osteocutaneous flaps. VBGs enable one-stage surgical reconstruction and are highly infection-resistant because of their autonomous vascularization. A vascularized medial femoral condyle (VFMC) free flap can be used to treat small defects and non-unions in the upper extremity. Relative contraindications to these procedures are diabetes, immunosuppression, chronic infections, alcohol, tobacco, drug abuse and obesity. The aim of our study was to illustrate the use of VFGs to treat large post-traumatic bone defects and osteomyelitis located in the upper extremity. Moreover, the use of VFMC autografts is presented. Korean Society of Plastic and Reconstructive Surgeons 2021-01 2021-01-15 /pmc/articles/PMC7861969/ /pubmed/33503750 http://dx.doi.org/10.5999/aps.2020.00969 Text en Copyright © 2021 The Korean Society of Plastic and Reconstructive Surgeons This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Hand/Peripheral Nerve
Petrella, Giovanna
Tosi, Daniele
Pantaleoni, Filippo
Adani, Roberto
Vascularized bone grafts for post-traumatic defects in the upper extremity
title Vascularized bone grafts for post-traumatic defects in the upper extremity
title_full Vascularized bone grafts for post-traumatic defects in the upper extremity
title_fullStr Vascularized bone grafts for post-traumatic defects in the upper extremity
title_full_unstemmed Vascularized bone grafts for post-traumatic defects in the upper extremity
title_short Vascularized bone grafts for post-traumatic defects in the upper extremity
title_sort vascularized bone grafts for post-traumatic defects in the upper extremity
topic Hand/Peripheral Nerve
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7861969/
https://www.ncbi.nlm.nih.gov/pubmed/33503750
http://dx.doi.org/10.5999/aps.2020.00969
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