scholarly journals Free vascularized fibular graft in patient with skeletal defect after neurofibroma surgical excision of forearm

2019 ◽  
Vol 7 (3) ◽  
pp. 955
Author(s):  
Satria Pandu Persada Isma ◽  
Agung Riyanto Budi Santoso ◽  
Thomas Erwin Christian Junus Huwae ◽  
Istan Irmansyah Irsan ◽  
Yudhi Purbiantoro
Keyword(s):  
Early Period ◽  
Surgical Excision ◽  
Fibular Graft ◽  
Vascularized Fibular Graft ◽  
Skeletal Defects ◽  
Free Vascularized Fibular Graft ◽  
Manual Testing ◽  
The Right ◽  
Operation Wound

The free vascularized fibular graft has been successfully applied as a reconstruction option in patient with large secondary skeletal defects result from excision of pathologic tissue after neurofibroma surgical excision. It provides a strong cortical strut for reconstruction of defects, so that the free vascularized fibular graft is ideal for ulna reconstruction. A 22-year-old male with lump in his right forearm for 3 months previously which become bigger and more painful. There was also sings of ulnar nerve disfunction. From the CPC result, we diagnosed forearm neurofibroma. We performed wide excision and reconstruction using free vascularized fibular graft. On the last follow up, the active and passive ranges of motion (ROM) of 4th and 5th metacarpal was measured with the help of a goniometer. The ulnar neurological state was tested by manual testing and graded on the Medical research council (MRC) scale. Four weeks after surgery, the operation wound at the right forearm and right lower leg was good and no infection signs. The graft viability was good with compromised vascularity. The post-operative passive and active ROM of the 4th and 5th metacarpal able did full extend. The post-operative sensoris level of the ulnar area improved from pre-operative sensoris level.Post-operative follow-up, in the early period (up to 6 weeks) we monitor the graft viability. Our case reported good result in the operation wound, the graft viability, the passive and active ROM of the 4th and 5th metacarpal and the sensoris level of the ulnar area.

scholarly journals Possible Novel Treatment Modality for Non Ossifying Fibroma Neck of Femur

2020 ◽  
Vol 53 (03) ◽  
pp. 442-446
Author(s):  
Mohammed Alam Parwaz ◽  
Tarun Chaudhary ◽  
Suraj Bansal
Keyword(s):  
Ossifying Fibroma ◽  
Fibular Graft ◽  
Neck Of Femur ◽  
Vascularized Fibular Graft ◽  
Osteolytic Lesions ◽  
Structural Support ◽  
Pathologic Fractures ◽  
Free Vascularized Fibular Graft ◽  
Impending Fracture

AbstractNonossifying fibromas (NOFs) are benign bone tumors occurring in the second decade of life. Most of the NOFs are diagnosed incidentally on the basis of its presentation on plain radiographs where they typically appear as small, cortical osteolytic lesions with sclerotic margin. They are mostly asymptomatic but can result in pathologic fractures if the lesion involves more than 50% of bone diameter. They are mostly treated with curettage and bone grafting. But in challenging situations where the classical surgery has failed or there is impending fracture of the neck of femur, bone structural support is needed. We are discussing two cases diagnosed as NOFs of intracapsular femoral neck. Both cases underwent curettage of tumor followed by free vascularized fibular graft. Results in both the cases were very gratifying, with complete resolution of symptoms during 1 year of follow-up.

Free vascularized fibular graft for treatment of pathological femoral neck fracture and osteonecrosis of the femoral head: A case report with a long-term follow-up

Microsurgery ◽  
2008 ◽  
Vol 29 (3) ◽  
pp. 240-243 ◽  
Author(s):  
Alexandros E. Beris ◽  
Marios G. Lykissas ◽  
Alexandros Payatakes ◽  
Vasileios A. Kontogeorgakos ◽  
Alexandros Mavrodontidis ◽  
...  
Keyword(s):  
Case Report ◽  
Femoral Head ◽  
Femoral Neck ◽  
Fibular Graft ◽  
Vascularized Fibular Graft ◽  
Long Term Follow Up ◽  
Neck Fracture ◽  
Free Vascularized Fibular Graft

scholarly journals Free Vascularized Fibular Graft Reconstruction of Large Skeletal Defects after Tumor Resection

2009 ◽  
Vol 468 (2) ◽  
pp. 590-598 ◽  
Author(s):  
William C. Eward ◽  
Vasileios Kontogeorgakos ◽  
Lawrence Scott Levin ◽  
Brian E. Brigman
Keyword(s):  
Tumor Resection ◽  
Fibular Graft ◽  
Vascularized Fibular Graft ◽  
Skeletal Defects ◽  
Free Vascularized Fibular Graft ◽  
Graft Reconstruction

Free vascularized fibular graft: A versatile graft for reconstruction of large skeletal defects and revascularization of necrotic bone

Microsurgery ◽  
1992 ◽  
Vol 13 (4) ◽  
pp. 182-187 ◽  
Author(s):  
Konstantinos N. Malizos ◽  
Alexandros E. Beris ◽  
Theodore A. Xenakis ◽  
Anastasios B. Korobilias ◽  
Panayotis N. Soucacos
Keyword(s):  
Fibular Graft ◽  
Necrotic Bone ◽  
Vascularized Fibular Graft ◽  
Skeletal Defects ◽  
Free Vascularized Fibular Graft

scholarly journals Primena slobodnog vaskularizovanog fibularnog grafta-reznja u lecenju velikih kostanih defekata posle povrede ekstremiteta

2013 ◽  
Vol 60 (2) ◽  
pp. 9-12 ◽  
Author(s):  
Marko Bumbasirevic ◽  
Aleksandar Lesic ◽  
Henry Atkinson ◽  
Goran Tulic
Keyword(s):  
Congenital Anomalies ◽  
Surgical Techniques ◽  
Bone Defects ◽  
Fibular Graft ◽  
Vascularized Fibular Graft ◽  
Anatomical Data ◽  
Skeletal Defects ◽  
Free Vascularized Fibular Graft

Free vascularized fibular graft is of the greatest importance in the orthopaedics and trauma. Bone, skeletal defects due to the trauma, infections and congenital anomalies could be successfully solved by the free vascularized fibular grafts. In this article the main anatomical data of fibular graft, surgical techniques, indications for the FVFG in the treatment of trauma caused bone defects or its complications-sequels are described.

scholarly journals Reconstruction with a free vascularized fibular graft for osteosarcoma of the right radius.

1994 ◽  
Vol 43 (3) ◽  
pp. 1134-1137
Author(s):  
Takeshi Kanamiya ◽  
Teruto Isayama ◽  
Sansen Yoh ◽  
Michiya Hara ◽  
Kenzou Yoshitake ◽  
...  
Keyword(s):  
Fibular Graft ◽  
Vascularized Fibular Graft ◽  
Free Vascularized Fibular Graft ◽  
The Right

Treatment for large skeletal defects by free vascularized fibular graft combined with locking plate

2009 ◽  
Vol 130 (4) ◽  
pp. 473-479 ◽  
Author(s):  
Yuan Sun ◽  
Changqing Zhang ◽  
Dongxu Jin ◽  
Jiagen Sheng ◽  
Xiangguo Cheng ◽  
...  
Keyword(s):  
Locking Plate ◽  
Fibular Graft ◽  
Vascularized Fibular Graft ◽  
Skeletal Defects ◽  
Free Vascularized Fibular Graft

scholarly journals The Vascularized Fibular Graft in the Pediatric Upper Extremity: A Durable, Biological Solution to Large Oncologic Defects

Sarcoma ◽  
2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Nicki Zelenski ◽  
Brian E. Brigman ◽  
L. Scott Levin ◽  
Detlev Erdmann ◽  
William C. Eward
Keyword(s):  
Upper Extremity ◽  
Pediatric Patients ◽  
Tumor Resection ◽  
Fibular Graft ◽  
Large Tumor ◽  
Vascularized Fibular Graft ◽  
Skeletal Defects ◽  
Vascularized Fibula ◽  
Free Vascularized Fibular Graft ◽  
Skeletal Reconstruction

Skeletal reconstruction after large tumor resection is challenging. The free vascularized fibular graft (FVFG) offers the potential for rapid autograft incorporation as well as growing physeal transfer in pediatric patients. We retrospectively reviewed eleven pediatric patients treated with FVFG reconstructions of the upper extremity after tumor resection. Eight male and three female patients were identified, including four who underwent epiphyseal transfer. All eleven patients retained a functional salvaged limb. Nonunion and graft fracture were the most common complications relating to graft site (27%). Peroneal nerve palsy occurred in 4/11 patients, all of whom received epiphyseal transfer. Patients receiving epiphyseal transplant had a mean annual growth of 1.7 cm/year. Mean graft hypertrophy index increased by more than 10% in all cases. Although a high complication rate may be anticipated, the free vascularized fibula may be used to reconstruct large skeletal defects in the pediatric upper extremity after oncologic resection. Transferring the vascularized physis is a viable option when longitudinal growth is desired.

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