Massive Bone Defects of the Upper Limb: Reconstruction by Vascularized Bone Transfer

Hand Clinics ◽  
2007 ◽  
Vol 23 (1) ◽  
pp. 49-56 ◽  
Author(s):  
Michael B. Wood ◽  
Allen T. Bishop
Keyword(s):  
Upper Limb ◽  
Bone Defects ◽  
Limb Reconstruction ◽  
Upper Limb Reconstruction ◽  
Vascularized Bone ◽  
Massive Bone

Vascularized Bone Grafts for Upper Limb Reconstruction: Defects at the Distal Radius, Wrist, and Hand

2010 ◽  
Vol 35 (10) ◽  
pp. 1710-1718 ◽  
Author(s):  
Konstantinos N. Malizos ◽  
Zoe H. Dailiana ◽  
Marco Innocenti ◽  
Cristophe L. Mathoulin ◽  
Rames Mattar ◽  
...  
Keyword(s):  
Distal Radius ◽  
Upper Limb ◽  
Bone Grafts ◽  
Limb Reconstruction ◽  
Upper Limb Reconstruction ◽  
Vascularized Bone

scholarly journals Use of Vascularized Periosteal Flaps in Upper Extremity Pathology

2020 ◽  
Vol 48 (01) ◽  
pp. 042-052
Author(s):  
Sergi Barrera-Ochoa ◽  
Sergi Alabau-Rodriguez ◽  
Dorka Liburd ◽  
Maria Victoria González ◽  
Xavier Mir-Bulló ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Upper Limb ◽  
Clinical Studies ◽  
Bone Defects ◽  
Metacarpal Bone ◽  
Periosteal Flap ◽  
Donor Area ◽  
Radial Forearm ◽  
Vascularized Bone ◽  
Massive Bone

AbstractMassive bone defects represent a challenge in orthopedics. The structural and biological contribution of vascularized bone flaps has significantly improved their treatment. Similarly, free vascularized periosteal flaps (VPF) have been used to treat bone defects in children, with higher flexibility, adaptability to the recipient's bed and good osteogenic and osteoinductive capacity. However, these are complex techniques related to donor area morbidity. We have started anatomical and clinical studies on the application of pediculated VPF in recalcitrant massive defects to reduce this morbidity. This article summarizes the fundamental aspects of the surgical technique, the main anatomical findings from cadaveric dissections and the applicability of pediculated VPF to treat biologically unfavorable bone defects at the upper limb. The authors review the vascularized humeral periosteal flap (VHPF), the dorso-ulnar and volar-radial forearm periosteal flaps and the vascularized first metacarpal periosteal flap, all described in previous papers. As a novelty, the dorsal wrist and hand VPF (4-5 radial periosteal flap and dorsum of the second metacarpal bone periosteal flap) are presented. In addition, clinical cases with recent VPF applications in common upper limb conditions are described.

Reconstruction

2018 ◽  
Author(s):  
S. Raja Sabapathay ◽  
Roderick Dunn
Keyword(s):  
Upper Limb ◽  
Soft Tissues ◽  
Wound Care ◽  
Thumb Reconstruction ◽  
Limb Reconstruction ◽  
Surgical Incisions ◽  
Wound Excision ◽  
Upper Limb Reconstruction ◽  
Primary Healing

The principles of upper limb reconstruction are to perform careful wound excision, fix the skeleton, reconstruct vessels, nerves, tendons, and bone as required (either immediate or delayed), and to obtain primary healing of the soft tissues with healthy vascularized tissue. This enables early movement—ideally, supervised by hand therapists—and generally results in a good outcome. In particular, delayed healing and immobility can lead to long-term morbidity. We provide a general overview of the principles of surgical incisions in the hand, wound care, and suturing, and discuss the use of skin grafts and flaps in the upper limb. We describe reconstruction of the different areas of the upper limb, along with detailed sections on digital and thumb reconstruction.

scholarly journals A New Method of Limb Salvage and Functional Upper Limb Reconstruction

2012 ◽  
Vol 02 (04) ◽  
pp. 80-82
Author(s):  
Ruka Shimizu ◽  
Kazuo Kishi ◽  
Hideo Morioka ◽  
Hiroo Yabe
Keyword(s):  
Limb Salvage ◽  
Upper Limb ◽  
New Method ◽  
Limb Reconstruction ◽  
Upper Limb Reconstruction

Upper Limb Reconstruction in Persons with Tetraplegia Tetraplegia

2015 ◽  
pp. 735-765 ◽  
Author(s):  
Scott H. Kozin ◽  
Dan A. Zlotolow ◽  
Joshua M. Abzug
Keyword(s):  
Upper Limb ◽  
Limb Reconstruction ◽  
Upper Limb Reconstruction
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