Postoperative monitoring of free vascularized bone grafts in reconstruction of bone defects

Microsurgery ◽  
2009 ◽  
Vol 29 (5) ◽  
pp. 401-407 ◽  
Author(s):  
Jenny Pliefke ◽  
Grit Rademacher ◽  
Alexander Zach ◽  
Kai Bauwens ◽  
Axel Ekkernkamp ◽  
...  
2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Xiao-Rui Jiang ◽  
Hui-Ying Yang ◽  
Xin-Xin Zhang ◽  
Guo-Dong Lin ◽  
Yong-Chun Meng ◽  
...  

An amendment to this paper has been published and can be accessed via a link at the top of the paper.


Author(s):  
A. V. Nevedrov ◽  
E. Yu. Shibayev ◽  
V. O. Kalenskiy ◽  
N. N. Zadneprovskiy ◽  
V. B. Shishkin ◽  
...  

Background.Vascular bone graft transposition is the one of most effective method of nonunion fracture and bone defect treatment. However, the use of this technique is associated with some difficulties. One is the adjustment of recipient bed size and the graft. The other is the difficulty to reconstruct the alignment and length of bone. A promising method of preparing for the vascular bone graft transposition is virtual three-dimensional planning based on computed tomography data and three-dimensional printing templates.The aimwas to summarize our experience in the treatment of bone nonunion and defects with vascular bone autografts using tree-dimensional virtual planning and printing.Material and methods.We analyzed the treatment process and outcomes of 4 patients with limb bone nonunion and 6 patients with bone defects. In all cases, we used vascular bone grafts. Internal fixation of grafts was used in 7 cases, external fixation was used in 3 cases. At preparation stage in 4 cases, we used tree-dimensional virtual surgery planning and printing templates.Results.One case was diagnosed with bone graft necrosis caused by venous thrombosis. Consolidation was achieved in all patients; a late consolidation was observed in 2 cases. Hematoma in donor area was seen in 2 patients. When using three-dimensional virtual planning and tree-dimensional printing templates, the operation time was decreased by 1 hour 5 minutes. We identified two cases of poor reposition in the group without virtual planning. No poor reposition was observed in the cases where tree-dimensional planning was used.Conclusion.Vascularized bone grafts provide an effective method to treat bone defects and nonunion. But the planning of graft and recipient site sizes is associated with certain difficulties. Our preliminary results have shown that virtual three-dimensional planning and printing allow improving the precision of the surgical procedure and decreasing operative time.


2021 ◽  
Vol 48 (1) ◽  
pp. 84-90
Author(s):  
Giovanna Petrella ◽  
Daniele Tosi ◽  
Filippo Pantaleoni ◽  
Roberto Adani

Vascularized bone grafts (VBGs) are widely employed to reconstruct upper extremity bone defects. Conventional bone grafting is generally used to treat defects smaller than 5–6 cm, when tissue vascularization is adequate and there is no infection risk. Vascularized fibular grafts (VFGs) are mainly used in the humerus, radius or ulna in cases of persistent non-union where traditional bone grafting has failed or for bone defects larger than 6 cm. Furthermore, VFGs are considered to be the standard treatment for large bone defects located in the radius, ulna and humerus and enable the reconstruction of soft-tissue loss, as VFGs can be harvested as osteocutaneous flaps. VBGs enable one-stage surgical reconstruction and are highly infection-resistant because of their autonomous vascularization. A vascularized medial femoral condyle (VFMC) free flap can be used to treat small defects and non-unions in the upper extremity. Relative contraindications to these procedures are diabetes, immunosuppression, chronic infections, alcohol, tobacco, drug abuse and obesity. The aim of our study was to illustrate the use of VFGs to treat large post-traumatic bone defects and osteomyelitis located in the upper extremity. Moreover, the use of VFMC autografts is presented.


1991 ◽  
Vol 24 (6) ◽  
pp. 1391-1418 ◽  
Author(s):  
Daniel B. Kuriloff ◽  
Michael J. Sullivan

2005 ◽  
Vol 21 (07) ◽  
Author(s):  
Alexandru Georgescu ◽  
Ovidiu Ivan ◽  
Adrian Avram ◽  
Ileana Matei ◽  
Irina Capota

1995 ◽  
Vol 121 (1) ◽  
pp. 70-76 ◽  
Author(s):  
N. D. Futran ◽  
M. L. Urken ◽  
D. Buchbinder ◽  
J. F. Moscoso ◽  
H. F. Biller

2018 ◽  
Vol 76 (10) ◽  
pp. e22-e23
Author(s):  
A. Marechek ◽  
J. Jun ◽  
S. Pack ◽  
H. Patel ◽  
F.A. Quereshy ◽  
...  

2014 ◽  
Vol 6 (12) ◽  
pp. 9622-9633 ◽  
Author(s):  
Yunqing Kang ◽  
Liling Ren ◽  
Yunzhi Yang

2006 ◽  
Vol 15 (3) ◽  
pp. 82-88 ◽  
Author(s):  
Weijian Zhong ◽  
Guowu Ma ◽  
Yi Wang ◽  
Ryo Tamamura ◽  
Jing Xiao

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