Free vascularized fibula grafts in surgery of the upper limb.

Abstract:

:Twenty patients with intractable diseases in the upper extremity were treated using free vascularized fibula grafts. There were 13 men and seven women. Three patients had traumatic bone defects, five had post-traumatic nonunions, two had congenital pseudoarthroses, seven had defects after tumor resection, and three had other lesions. The reconstructed sites were the humerus in two patients, the radius and/or ulna in 17, and the metacarpal and phalangeal bones in one. The length of the bone defect ranged from 3 to 18 cm (mean: 8.4 cm). Follow-up periods ranged from 6 to 204 months. No patient required additional bone grafts. The mean period required to obtain radiographic bone union was 4.4 months. There were no cases with fractures of the grafted bone, but malunion occurred in four cases. The vascularized fibula graft is indicated in patients with large bone defects or intractable nonunions in the humerus, radius, and/or ulna.

journal_name

J Reconstr Microsurg

authors

Yajima H,Tamai S,Ono H,Kizaki K,Yamauchi T

doi

10.1055/s-2007-1000131

subject

Has Abstract

pub_date

1999-10-01 00:00:00

pages

515-21

issue

7

eissn

0743-684X

issn

1098-8947

journal_volume

15

pub_type

杂志文章
  • Microsurgical reconstruction during the early puerperium.

    abstract::A transverse rectus abdominis musculocutaneous free flap was electively performed for reconstructing the cutaneous cover in a patient during the early puerperium (12 hr after delivery). This flap was chosen because of the natural expansion achieved by pregnancy, and because it would cover the entire area to be reconst...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006478

    authors: Iglesias M,Butrón P,Granados R

    更新日期:1996-05-01 00:00:00

  • Breast reconstruction with the free TRAM flap after breast cancer surgery.

    abstract::The authors' experiences with 34 free lower TRAM flap transfers, in which 19 primary reconstructions and 15 secondary reconstructions were successfully achieved, are reviewed. The free TRAM flap yielded better results than the pedicled TRAM flap in cases where reconstruction of the infraclavicular and anterior axillar...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006676

    authors: Yamada A,Harii K,Hirabayashi S,Kawashima T,Asato H

    更新日期:1992-01-01 00:00:00

  • Autotransplantation of heterodigital neurovascular free flaps for plasty of finger defects.

    abstract::The authors report eight microsurgical operations to repair soft tissue defects of the fingers using free neurovascular autografts taken from the lateral surfaces of digits 3 and 4. In seven cases, the transferred flaps survived, and one case resulted in necrosis of the transplant. Follow-ups were from one to 12 month...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006691

    authors: Datiashvili RO,Shibaev EY,Tsagikyan AA

    更新日期:1992-03-01 00:00:00

  • Overcoming peripheral nerve gap defects using an intact nerve bridge in a rabbit model.

    abstract::This study investigated the intact nerve bridge technique for overcoming peripheral nerve gap defects in a rabbit model. To create the intact nerve bridge, a 1-cm segment of the peroneal nerve is resected leaving a gap defect. The proximal and distal peroneal nerve stumps are sutured 1 cm apart, in an end-to-side fash...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2005-869827

    authors: McCallister WV,McCallister EL,Trumble SA,Trumble TE

    更新日期:2005-04-01 00:00:00

  • Reliability of Various Predictors for Preoperative Diagnosis of Infraclavicular Brachial Plexus Lesions with Shoulder and/or Elbow Paresis.

    abstract:BACKGROUND: The distinction between supraclavicular and infraclavicular acute brachial plexus injuries (BPIs) could be challenging in cases of combined shoulder and elbow paresis. The reliability of several preoperative predictors was investigated to avoid unnecessary dissection, prolonged operation time, increased pos...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0040-1702177

    authors: Qiu SS,Chang TN,Lu JC,Chuang DC

    更新日期:2020-07-01 00:00:00

  • Free vascularized toe-joint transfer in hand reconstruction: a series of 25 patients.

    abstract::Twenty-eight vascularized toe-joint transfers performed on 25 patients were reviewed. A number of different techniques were used: proximal interphalangeal joint or metacarpophalangeal joint reconstruction, one-stage double joint transfer, and interphalangeal thumb or trapezometacarpal joint replacement. Using these ty...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006819

    authors: Foucher G,Sammut D,Citron N

    更新日期:1990-07-01 00:00:00

  • Recurrent phyllodes tumor of the breast: defining the role for skin-sparing mastectomy and autologous reconstruction.

    abstract::Phyllodes tumors (PTs) are uncommon fibroepithelial tumors of the breast, noteworthy for their difficult excisions and high recurrence rates. In the setting of recurrence, there is no consensus in the literature as to the extent of excision or the impact on reconstructive options. Breast-conserving surgery and simple ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0031-1275493

    authors: Atalla MA,Rozen WM,Grinsell D,Hyett A,Prakash S,Cham A

    更新日期:2011-05-01 00:00:00

  • Postoperative Free Flap Breast Protocol Optimizing Resources and Patient Safety.

    abstract:BACKGROUND: As deep inferior epigastric artery perforator (DIEP) flaps have gained popularity in breast reconstruction, the postoperative care of these patients, including the appropriate hospital length-of-stay and the need for intensive care unit (ICU) admission, has become a topic of debate. At our institution, we h...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0040-1701698

    authors: Fadavi D,Haley A,Khavanin N,Kraenzlin F,Bos TJ,Cho BH,Carl HM,Bhat D,Ostrander BT,Manahan MA,Rosson GD,Sacks JM

    更新日期:2020-06-01 00:00:00

  • Structural and functional regeneration of muscle-related axons after transection and repair of the rat sciatic nerve using nonvascularized autologous fascia as a barrier between tibial and peroneal nerve fascicles.

    abstract::Aberrant reinnervation of target organs caused by misdirected axonal growth at the repair site is a major reason for the poor functional outcome usually seen after peripheral nerve transection and repair. This study investigates whether the criss-crossing of regenerating rat sciatic nerve axons between tibial and pero...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2004-861524

    authors: Lutz BS

    更新日期:2004-11-01 00:00:00

  • Preclinical efficacy of slow-release bFGF in ischemia-reperfusion injury in a Dorsal Island skin flap model.

    abstract::The effect of slow-release basic fibroblast growth factor (bFGF) on ischemia-reperfusion injury was examined using an island skin flap model in rats. Paired rectangular island skin flaps were elevated on the dorsum of 30 Fischer rats. The flaps were subjected to 6 hours of ischemia. Before reperfusion the flaps were i...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0033-1343830

    authors: Wang Y,Orbay H,Huang C,Tobita M,Hyakusoku H,Myamoto M,Tabata Y,Mizuno H

    更新日期:2013-06-01 00:00:00

  • The Role of Cadaver-Based Flap Course in Microsurgical Education and Practice Patterns of Attendees: A Survey Study.

    abstract:BACKGROUND: In 2017, our institution initiated a cadaver laboratory-based course dedicated to teaching reconstructive microsurgery indications, preoperative planning, and flap dissection. The goals of this study are to describe the demographics and experience of participants/instructors and to evaluate the learning obj...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0040-1716320

    authors: Azoury SC,Othman S,Colen DL,Broach RB,Lin I,Zenn MR,Kovach SJ,Levin LS

    更新日期:2021-02-01 00:00:00

  • Standardized templates for shaping the fibula free flap in mandible reconstruction.

    abstract::Conversion of the straight fibula bone flap into the parabolic mandible shape can be performed using customized acrylic templates made from a 1:1 mandible computed tomography scan and lateral cephalogram. The premise of the current study is to objectively quantify the variability in a series of acrylic templates used ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0033-1356645

    authors: Matros E,Santamaria E,Cordeiro PG

    更新日期:2013-11-01 00:00:00

  • Osteomyocutaneous Free Fibula Flap Prevents Osteoradionecrosis and Osteomyelitis in Head and Neck Cancer Reconstruction.

    abstract:BACKGROUND: Osteoradionecrosis (ORN) is one of the most severe complications of free fibula reconstruction after radiotherapy. The gold standard treatment of osteomyelitis involves extensive debridement, antibiotics, and sufficiently vascularized muscle flap coverage for better circulation. Therefore, we hypothesized t...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0040-1722647

    authors: Wang KY,Liu WC,Chen CF,Chen LW,Chen HC,Yang KC

    更新日期:2021-01-31 00:00:00

  • The Preferred Management of a Single-Digit Distal Phalanx Amputation.

    abstract:BACKGROUND: Replantation of a single digit at the distal phalanx level is not routinely performed since it is technically challenging with questionable cost-effectiveness. The purpose of this study was to analyze international microsurgeons' clinical decisions when faced with this common scenario. METHODS: A survey of...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0039-1701013

    authors: Kwon SH,Lao WW,Hsu AT,Lee CH,Hsu CC,Huang JJ,Qiu SS,Tilkorn D,Tang ET,Lu JC,Chang TN

    更新日期:2020-05-01 00:00:00

  • Targeted Muscle Reinnervation: Outcomes in Treating Chronic Pain Secondary to Extremity Amputation and Phantom Limb Syndrome.

    abstract:BACKGROUND: Secondary to vascular disease, oncological resection, or devastating trauma, lower extremity amputations are performed globally at a yearly rate exceeding 1 million patients. Three-quarters of these patients will develop chronic pain or phantom pain, which presents a functional limitation for prosthetic use...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0039-1700559

    authors: McNamara CT,Iorio ML

    更新日期:2020-05-01 00:00:00

  • Blood flow in a chronic entrapment neuropathy model in the rabbit sciatic nerve.

    abstract::A model of chronic entrapment neuropathy in the rabbit sciatic nerve was developed to try to elucidate the pathogenesis of chronic nerve entrapment. A non-compressive Silastic cuff was wrapped around the nerve at the mid-thigh level in eight rabbits. A sham operation that only elevated the sciatic nerve was performed ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1000070

    authors: Aziz W,Firrell JC,Ogden L,Breidenbach WC

    更新日期:1999-01-01 00:00:00

  • Two-stage arterialized flow-through venous flap transfer for third-degree burn defects on the dorsum of the hand.

    abstract::A modified, two-stage arteriovenous flow-through venous flap was designed to repair skin defects due to third-degree burns on the dorsum of the hand in four patients. Two weeks after plasty of an arteriovenous (A-V) shunt between the greater saphenous vein and dorsalis pedis artery, the arterialized flow-through venou...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006429

    authors: Ueda Y,Mizumoto S,Hirai T,Doi Y,Fukui A,Tamai S

    更新日期:1997-10-01 00:00:00

  • Evaluation by scintigraphy of hindlimb ischemia in a rat model.

    abstract::The subject of ischemia-reperfusion has commonly been studied in rat hindlimb models. Unfortunately, in these experiments, the ischemia procedures lack standardization. For this reason, the authors evaluated the reliability of rat ischemia models described in the literature using scintigraphy. The study comprised six ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2004-830005

    authors: Babuccu O,Peksoy I,Hosnuter M,Kargi E,Babuccu B

    更新日期:2004-07-01 00:00:00

  • Extra and Intramuscular Distribution of the Thoracodorsal Nerve with Regard to Nerve Reconstruction Surgeries.

    abstract::Background The lateral branch of the thoracodorsal nerve (LBTN) is used for nerve transfer in facial, musculocutaneous, axillary nerve injuries and for irreparable C5, C6 spinal nerve lesions and accessory nerve defects. For a successful surgical outcome, the nerve to be used in nerve transfer should be of adequate le...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0036-1579541

    authors: Malalasekera A,Beneragama T,Kanesu S,Sahathevan V,Jayasekara R

    更新日期:2016-06-01 00:00:00

  • Multiple vascular anastomoses with vein grafts for salvage of congestive flaps.

    abstract::The authors present two cases in which the venous drainage of transferred flaps was compromised and the flaps were salvaged by vein grafts. Traditionally, once transferred free flaps had become congestive, surgeons would re-anastomose the thrombosed veins, and administer anticoagulants or carry out peripheral vessel d...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2004-815639

    authors: Namba Y,Takahashi Y,Ito S,Koshima I

    更新日期:2003-11-01 00:00:00

  • Single-stage reconstruction of the flexor mechanism of the fingers with a free vascularized tendon flap: case report.

    abstract::The reconstruction of the flexor tendon in zones I and II of a ring finger in a single stage, using a free vascularized tendon graft, is reported in a single clinical case. The flexor digitorum superficialis (FDS) tendon of the same finger was freely transferred based on a vascular branch off the ulnar vessels. The ul...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2006-931905

    authors: Cavadas PC,Mir X

    更新日期:2006-01-01 00:00:00

  • Clinical anatomy of the internal oblique muscle.

    abstract::In recent years microvascular free tissue transfer has become a well accepted reconstructive technique. The current trend in flap research seems to be the development of more refined flaps to meet specific needs with minimal donor site morbidity. The internal oblique muscle provides a broad, thin, well-vascularized fl...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1007012

    authors: Ramasastry SS,Granick MS,Futrell JW

    更新日期:1986-01-01 00:00:00

  • Long-term results of lateral calcaneal artery flap for hindfoot reconstruction.

    abstract::The purpose of the present study was to analyze our long-term results of lateral calcaneal artery flap transfer for hindfoot reconstruction. A total of four patients (average age, 48 years) underwent lateral calcaneal artery flap transfer. The etiologies were heat injury of the lateral malleolus in one patient and ski...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2008-1078690

    authors: Omokawa S,Yajima H,Tanaka Y,Ryu J

    更新日期:2008-05-01 00:00:00

  • Migration of schwann cells in peripheral-nerve regeneration.

    abstract::Schwann cells play a central role in peripheral-nerve regeneration, in which it has been shown that the addition of exogenous Schwann cells enhances the temporal and spatial sequence of events observed in regeneration. In this study, the authors investigated the fate of exogenous cells in this process by using fluores...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1000143

    authors: Bryan DJ,Wang KK,Summerhayes C

    更新日期:1999-11-01 00:00:00

  • Patient Safety in Microvascular Plastic Surgery.

    abstract::Patient safety is defined as freedom from accidental or preventable harm produced by medical care. The identification of patient- and procedure-related risk factors enables the surgical team to carry out prophylactic measures to reduce the rate of complications and adverse events.The purpose of this review is to ident...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0039-1693142

    authors: Colakoglu S,Tebockhorst S,Chong TW,Mathes DW

    更新日期:2019-11-01 00:00:00

  • Successful correction of severe contracture of the palm using arterialized venous flaps.

    abstract::Severe contracture of the palm causes great difficulty in the performance of the tasks required in daily life. Resurfacing with skin grafts may be sufficient for treating mild and small contractures; but severe and extensive contractures involving the joints, tendons, and neurovascular bundles should be covered with t...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2004-836124

    authors: Nakazawa H,Nozaki M,Kikuchi Y,Honda T,Isago T

    更新日期:2004-10-01 00:00:00

  • Sensory reconstruction in sensate radial forearm flap transfer.

    abstract::The authors treated 14 patients (13 men and one woman), using a sensate radial forearm flap. Their ages at operation ranged from 27 to 67 years (mean: 52 years). Preoperative conditions were amputations in 10 cases, degloving injury in three, and crush injury in one. Reconstructive sites involved the thumb in nine cas...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2000-9375

    authors: Yamauchi T,Yajima H,Kizaki K,Kobata Y,Fukui A,Tamai S

    更新日期:2000-11-01 00:00:00

  • Revascularization of nerve grafts: an experimental study.

    abstract::The time course of revascularization of grafted nerves, and the possible dependence of this revascularization on the length of the graft are two related questions that are addressed. Survival of Schwann cells in the nerve graft and a timely revascularization must be seen as a precondition for an optimal regeneration p...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006938

    authors: Penkert G,Bini W,Samii M

    更新日期:1988-07-01 00:00:00

  • Management of radial nerve injury associated with humeral shaft fractures: an evidence-based approach.

    abstract::Injury to the radial nerve is not uncommonly associated with fractures of the humerus. Despite a considerable amount of information and literature regarding management of these associated injuries, a universally accepted algorithm for treatment remains elusive. This article assimilates the data and provides evidence-b...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0028-1090623

    authors: Elton SG,Rizzo M

    更新日期:2008-11-01 00:00:00

  • Different types of sleeve anastomosis.

    abstract::Microvascular techniques are important in making routine anastomoses quicker and difficult anastomoses easier. The authors have developed three types of sleeve anastomoses for different size vessels: a three-stitch sleeve anastomosis, four-stitch sleeve anastomosis, and sidecut sleeve anastomosis. Arteriography, in vi...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006561

    authors: Zhang L,Moskovitz M,Baron DA,Siebert JW

    更新日期:1995-11-01 00:00:00