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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Vascularized Bone Flaps in Upper Extremity Reconstruction: A Case Series

Meeting Abstract

Suche in Medline nach

  • presenting/speaker Corinne Wee - Case Western Reserve University, Cleveland, United States
  • Daniel Ruter - Albany Medical College, Albany, United States
  • Jason Hehr - The Ohio State University, Columbus, United States
  • Steven Schulz - The Ohio State University, Columbus, United States
  • Geoffroy Sisk - The Ohio State University, Columbus, United States
  • Julie West - The Ohio State University, Columbus, United States
  • Ian Valerio - The Ohio State University, Columbus, United States

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. DocIFSSH19-1343

doi: 10.3205/19ifssh0845, urn:nbn:de:0183-19ifssh08459

Veröffentlicht: 6. Februar 2020

© 2020 Wee 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: Upper extremity composite tissue defects encompassing bone and/or isolated bony defects can be challenging; re-establishing a bony framework is critical for successful limb salvage. Vascularized bone flaps (VBFs) can provide a one-stage solution for autologous bony replacement in situations with large or complex bone defects and are often superior options compared with nonvascularized bone grafts or non-bone internal fixation techniques.

Methods: A retrospective review of VBFs performed by a single surgeon over a seven year period was conducted.

Results and Conclusions: Thirty-three total VBFs were completed for traumatic, oncologic, and congenital cases; seventeen of these were performed in the upper extremity. Patient age ranged from 5 to 64 years with the majority of patients being younger than 30 years old. Etiology of injuries included 11 traumatic and 6 oncologic (all 6 of which were pediatric cases). Successful union or bone healing was observed in 12 of 13 cases; at this time, 4 of the cases do not yet have an adequate follow-up period to determine union. There was 1 case of complete resorption of a fibula bone flap requiring salvage with an expandable megaprosthetic and additional soft tissue flap coverage.

VBFs have critical roles in successful limb salvage outcomes where certain bony defects are encountered. As evidenced in our series, VBFs provide reliable single-stage autologous bony reconstructions with relatively low and acceptable complication rates while achieving more functional outcomes. This series demonstrates the utility and success of VBFs for a variety of clinical situations.