A 20-year-old man sustained a high energy injury to his right forearm resulting in comminuted open fractures of the forearm with 6 cm bone loss of the radius and 7 cm bone loss of the ulna. A bone segment was removed from the middle of a free fibula transfer to produce a single flap with two vascularised bone segments to reconstruct both the radius and ulna defects. Step osteotomies were stabilised with a single lag screw for each fracture line and, with a rigid external fixation device on the ulna, two vein grafts were used to anastomose the flap pedicle to the recipient vessels in the forearm. The postoperative period was uneventful. X-rays and scintigrams confirmed good healing of the fractures and normal perfusion of the flap so that the external fixation device could be removed 3 months after surgery. One year after the injury, the patient underwent a functional evaluation showing excellent results with very good preservation of rotation of the forearm.

Combined radius and ulna reconstruction with a free fibula transfer / SANTANELLI DI POMPEO, Fabio; C., Latini; L., Leanza; Scuderi, Nicolo'. - In: BRITISH JOURNAL OF PLASTIC SURGERY. - ISSN 0007-1226. - 49:3(1996), pp. 178-182. [10.1016/s0007-1226(96)90222-2]

Combined radius and ulna reconstruction with a free fibula transfer

SANTANELLI DI POMPEO, Fabio;SCUDERI, Nicolo'
1996

Abstract

A 20-year-old man sustained a high energy injury to his right forearm resulting in comminuted open fractures of the forearm with 6 cm bone loss of the radius and 7 cm bone loss of the ulna. A bone segment was removed from the middle of a free fibula transfer to produce a single flap with two vascularised bone segments to reconstruct both the radius and ulna defects. Step osteotomies were stabilised with a single lag screw for each fracture line and, with a rigid external fixation device on the ulna, two vein grafts were used to anastomose the flap pedicle to the recipient vessels in the forearm. The postoperative period was uneventful. X-rays and scintigrams confirmed good healing of the fractures and normal perfusion of the flap so that the external fixation device could be removed 3 months after surgery. One year after the injury, the patient underwent a functional evaluation showing excellent results with very good preservation of rotation of the forearm.
1996
bone-grafts
01 Pubblicazione su rivista::01a Articolo in rivista
Combined radius and ulna reconstruction with a free fibula transfer / SANTANELLI DI POMPEO, Fabio; C., Latini; L., Leanza; Scuderi, Nicolo'. - In: BRITISH JOURNAL OF PLASTIC SURGERY. - ISSN 0007-1226. - 49:3(1996), pp. 178-182. [10.1016/s0007-1226(96)90222-2]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/247426
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