VASCULARIZED FIBULAR GRAFT FOR MANAGEMENT OF SEVERE OSTEOMYELITIS OF THE UPPER EXTREMITY

被引:18
作者
MATTAR, R
AZZE, RJ
FERREIRA, MC
STARCK, R
CANEDO, AC
机构
[1] Department of Orthopedics (Iot), Faculty of Medicine, University of São Paulo (Fmusp), São Paulo, São Paulo
关键词
D O I
10.1002/micr.1920150108
中图分类号
R61 [外科手术学];
学科分类号
摘要
The authors analyzed 14 patients with severe osteomyelitis of the upper extremity between 1985 and 1992, managed with the vascularized fibular graft. Eleven radii, two humeri and one ulna were reconstructed. Bone loss after resection ranged from 6 to 12 cm (mean 8.14 cm). Follow-up ranged from 8 months to 7 years and 10 months (mean 3 years and 3 months). The therapeutic applications of the vascularized fibular graft in severe bone infections of the upper extremity were discussed and the good results of this surgical procedure established it as a good option for treatment. Morbidity at the donor site was minimal. (C) Wiley-Liss, Inc.
引用
收藏
页码:22 / 27
页数:6
相关论文
共 27 条
[1]  
O'Brien BM, Morrison WA, Bone reconstruction in reconstructive microsurgery, Reconstructive Microsurgery, pp. 315-355, (1987)
[2]  
Boer HH, Wood MB, Bone changes in the vascularized fibular graft, J Bone Joint Surg, 71 B, pp. 374-378, (1987)
[3]  
Buncke H, Furnas DW, Gordon L, Achauer BM, Free osteocutaneous flap from a rib to the tibia, Plast Reconst Surg, 59, pp. 799-805, (1977)
[4]  
Doi K, Toninaga S, Shibata T, Bone grafts with microvascular anastomoses of vascular pedicles‐an experimental study in dogs, J Bone Joint Surg, 59 A, pp. 809-815, (1977)
[5]  
Haw CS, O'Brien BM, Kurata T, The microsurgical revascularisation of resected segments of tibia in dog, J Bone Joint Surg, 60 B, pp. 266-269, (1978)
[6]  
Ostrup LT, Fredrikson JM, Distant transfer of a free living graft by microvascular anastomoses‐an experimental study, Plast Reconst Surg, 54, pp. 274-285, (1974)
[7]  
Shaffer JW, Field GA, Goldberg VM, Davy DT, Fate of vascularized and nonvascularized autografts, Clin Orthop Rel Res, 197, pp. 32-43, (1985)
[8]  
Weinland AJ, Current concepts review‐vascularized free bone transplants, J Bone Joint Surg, 63 A, pp. 166-169, (1981)
[9]  
Hurst LC, Mirza MA, Spellman W, Vascularized fibular graft for infected loss of the ulna: Case report, J Hand Surg, 7, pp. 498-501, (1982)
[10]  
Jupiter JB, Reconstruction of humerus by soft tissue distraction and vascularized fibula transfer, J Hand Surg, 16 A, pp. 940-943, (1991)