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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Plastic and Reconstructive Surgeons
2021
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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. |
format | Online Article Text |
id | pubmed-7861969 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Korean Society of Plastic and Reconstructive Surgeons |
record_format | MEDLINE/PubMed |
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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