One-bone forearm formation using vascularized fibula graft for massive bone defect of the forearm with infection: Case report

Citation
K. Arai et al., One-bone forearm formation using vascularized fibula graft for massive bone defect of the forearm with infection: Case report, J RECON MIC, 17(3), 2001, pp. 151-155
Citations number
18
Categorie Soggetti
Surgery
Journal title
JOURNAL OF RECONSTRUCTIVE MICROSURGERY
ISSN journal
0743684X → ACNP
Volume
17
Issue
3
Year of publication
2001
Pages
151 - 155
Database
ISI
SICI code
0743-684X(200104)17:3<151:OFFUVF>2.0.ZU;2-X
Abstract
Massive long-bone defects of greater than 6 cm are difficult to treat with conventional bone grafts, and other methods are sometimes recommended, such as vascularized bone grafts or bone transport using the Ilizarov external fixator. The combination of local infection with a massive bone defect exac erbates the problem, and provides an even more negative prognosis. The auth ors treated a large bone defect of the forearm with local infection, using a one-bone forearm formation with a large vascularized fibula graft. They a ttached an adequate amount of muscle fascia to the vascularized fibula, whi ch was useful not only for coverage of the skin defect, but also for treatm ent of the local infection. Twenty months after surgery elbow and hand func tions were maintained, and the patient had no disturbance of hand function in daily activities, although rotation of the forearm was sacrificed.