gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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A free vascularized tibia graft for the infectious bony defect of upper limb

Meeting Abstract

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  • presenting/speaker Gaofeng Liang - Weapons Industrial Health Institute (521 Hospital), Xi an, China
  • Yunsheng Teng - Weapons Industrial Health Institute (521 Hospital), Xi an, China
  • Yongming Guo - Weapons Industrial Health Institute (521 Hospital), Xi an, China
  • Junwen Dong - Weapons Industrial Health Institute (521 Hospital), Xi an, China
  • Zonghai Jia - Weapons Industrial Health Institute (521 Hospital), Xi an, China
  • Xiaobo Quan - Weapons Industrial Health Institute (521 Hospital), Xi an, China

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-173

doi: 10.3205/19ifssh0817, urn:nbn:de:0183-19ifssh08177

Veröffentlicht: 6. Februar 2020

© 2020 Liang et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives/Interrogation: To explore the clinical application and effect of a free fibular transplantation in the treatment of the infectious bony defect of upper limb.

Methods: Form April 2009 to January 2015, the infectious bony defect of upper limb was treated by a free vascularized tibia graft, 11 patients suffered such bony defect,including 2 humeral shafts, 6 radial backbones and 3 Ulnar backbones. The infection was confirmed by sinus secretions preoperatively and bacterial culture at the lesion intraoperatively. After debridement, the length of bone defect was 5-20cm. 6 cases were suffered by emergency surgery, 5 cases by elective surgery, bone defects were repaired with single fibular graft for all patients. The blood supply of the free vascularized tibia graft was monitored by the fibular flap in 9 cases. All the persons, fibulas were fixed by plates, the survival of the transplanted fibula and the healing of the bone were performed by imaging assessment postoperatively.

Results and Conclusions: All cases were followed up for 12 months to 39 months, with an average of 24.5 months. All transplanted fibula survived and bone defect site achieved bone healing, the averaged length of transplanted fibulas was (6 ± 20) cm. The mean healing time of graft and bone graft was (5.5 ± 1.2) months, the supplyment of bone and reception of bone were no dysfunction, no infection recurrence and no stress fracture occurred for transplantation of fibulas.

It is conducive to treat the infectious bony defect of upper limb by the free fibular transplantation, the bony defect of upper limb achieved high bone healing rate, it is the ideal treatment.