Journal of Shoulder and Elbow Surgery
Volume 17, Issue 4 , Pages 578-584 , July 2008

Reconstruction of posttraumatic bone defects of the humerus with vascularized fibular graft

  • Roberto Adani, MD

      Affiliations

    • Department of Orthopaedic Surgery, University of Modena and Reggio Emilia, Modena, Itlay
    • Corresponding Author InformationReprint requests: Roberto Adani, MD, Clinica Ortopedica e Traumatologica, Università degli Studi di Modena e Reggio Emilia, Policlinico di Modena, Largo del Pozzo n. 71, 41100 Modena, Italy.
    • ,
  • Luca Delcroix, MD

      Affiliations

    • Microsurgery Unit, CTO Careggi Hospital, Florence, Itlay
    • ,
  • Luigi Tarallo, MD

      Affiliations

    • Department of Orthopaedic Surgery, University of Modena and Reggio Emilia, Modena, Itlay
    • ,
  • Alessio Baccarani, MD

      Affiliations

    • Department of Orthopaedic Surgery, University of Modena and Reggio Emilia, Modena, Itlay
    • ,
  • Marco Innocenti, MD

      Affiliations

    • Microsurgery Unit, CTO Careggi Hospital, Florence, Itlay

References 

  1. Adani R, Delcroix L, Innocenti M, et al. Reconstruction of large posttraumatic skeletal defects of the forearm by vascularized free fibular graft. Microsurgery. 2004;6:423–429
  2. Arai K, Toh S, Tsubo K, Nishikawa S, Narita S, Miura H. Complications of vascularized fibula graft for reconstruction of long bones. Plast Rec Surg. 2002;7:2301–2306
  3. Barquet A, Fernandez A, Luvizio J, Masliah R. A combined therapeutic protocol for aseptic nonunion of the humeral shaft: a report of 25 cases. J Trauma. 1989;29:95–98
  4. Belt PJ, Dickinson IC, Theile DRB. Vascularised free fibular flap in bone resection and reconstruction. Br J Plast Surg. 2005;58:425–430
  5. Brunelli GA, Vigasio A, Brunelli GR. Microvascular fibular grafts in skeleton reconstruction. Clin Orthop. 1995;314:241–246
  6. Catagni MA, Guerreschi F, Probe RA. Treatment of humeral nonunions with the Ilizarov technique. Bull Hosp Jt Dis. 1991;51:74–83
  7. Cattaneo R, Catagni MA, Guerreschi F. Applications of the Ilizarov method in the humerus: lengthenings and nonunions. Hand Clin. 1993;9:729–739
  8. Ciuccarelli C, Cervellati C, Montanari G, Masetti G, Galli G, Carpanelli F. The Ilizarov method for the treatment of non-union in the humerus. Chir Organi Mov. 1990;75:115–120
  9. de Boer HH, Wood MB, Hemans J. Reconstruction of the large skeletal defects by vascularized fibula transfer. Int Orthop. 1990;14:121–128
  10. Duffy GP, Wood MB, Rock MG, Sim FH. Vascularized free fibular transfer combined with autografting for the management of fracture nonunions associated with radiation therapy. J Bone Joint Surg Am. 2000;82:544–554
  11. Falder S, Sinclair JS, Rogers CA, Townsend PLG. Long-term behaviour of the free vascularized fibula following reconstruction of large bony defects. Br J Plast Surg. 2003;56:571–584
  12. Foster RJ, Dixon GL, Bach AW, Appleyard RW, Green TM. Internal fixation of fractures and nonunions of the humeral shaft. Indications and results in a multi-center study. J Bone Joint Surg Am. 1985;67:857–869
  13. Gonzalez del Pino J, Bartolome del Valle E, Lopez Grana G, Ferreira Villanova J. Free vascularized fibula grafts have a high union rate in atrophic nonunions. Clin Orthop. 2004;419:38–45
  14. Healy WL, White GM, Mick CA, Brooker AF, Weiland AJ. Nonunion of the humeral shaft. Clin Orthop. 1987;219:206–213
  15. Heitmann C, Erdmann D, Levin LS. Treatment of segmental defects of the humerus with an osteoseptocutaneous fibular transplant. J Bone Joint Surg Am. 2002;84:2216–2223
  16. Jupiter JB. Complex non-union of the humeral diaphysis. Treatment with a medial approach, an anterior plate, and a vascularized fibular graft. J Bone Joint Surg Am. 1990;72:701–707
  17. Jupiter JB, von Deck M. Ununited humeral diaphyses. J Shoulder Elbow Surg. 1998;7:644–653
  18. Lammens J, Bauduin G, Dreisen R, et al. Treatment of nonunion of the humerus using the Ilizarov external fixator. Clin Orthop. 1998;353:223–230
  19. Lee KS, Park JW. Free vascularized osteocutaneous fibular graft to the tibia. Microsurgery. 1999;19:141–147
  20. Mast JW, Spiegel PG, Harvey JP, Harrison C. Fractures of the humeral shaft. A retrospective study of 240 adult factures. Clin Orthop. 1975;112:254–262
  21. Mattar R, Azze RJ, Castro Ferreira M, Starck R, Canedo AC. Vascularized fibular graft for management of severe osteomyelitis of the upper extremity. Microsurgery. 1994;15:22–27
  22. McKee MD, Miranda MA, Riemer BL, et al. Management of humeral nonunion after the failure of locking intramedullary nails. J Orthop Trauma. 1996;10:492–499
  23. Minami A, Kasashima T, Iwasaki N, Kato H, Kaneda K. Vascularized fibular grafts: an experience of 102 patients. J Bone Joint Surg Br. 2000;82:1022–1025
  24. Moran CG, Wood MB. Vascularized bone autografts. Orthop Rev. 1993;22:187–197
  25. Muramatsu K, Doi K, Ihara K, Shigetomi M, Kawai S. Recalcitrant posttraumatic nonunion of the humerus. Acta Orthop Scand. 2003;74:95–97
  26. Paramasivan ON, Younge DA, Pant R. Treatment of nonunion around the olecranon fossa of the humerus by intramedullary locked nail. J Bone Joint Surg Br. 2000;82:332–335
  27. Patel VR, Menon DK, Pool RD, Simonis RB. Nonunion of the humerus after failure of surgical treatment. Management using the Ilizarov circular fixation. J Bone Joint Surg Br. 2000;82:977–983
  28. Ring D, Jupiter JB, Quintero J, Sanders RA, Marti RK. Atrophic ununited diaphyseal fractures of the humerus with a bony defect. J Bone Joint Surg Br. 2000;82:867–871
  29. Sarmiento A, Zagorski JB, Zych GA, Latta LL, Capps CA. Functional bracing for the treatment of fractures of the humeral diaphysis. J Bone Joint Surg Am. 2000;82:478–486
  30. Tang CH. Reconstruction of the bones and joints of the upper extremity by vascularized free fibular graft: report of 46 cases. J Reconstr Microsurg. 1992;8:285–292
  31. Trotter DH, Dobozi W. Nonunion of the humerus: rigid fixation, bone grafting, and adjunctive bone cement. Clin Orthop. 1986;204:62–68
  32. Tu YK, Yen CH, Yeh WL, Wang IC, Wang KC, Ueng SWN. Reconstruction of posttraumatic long bone defect with free vascularized bone graft: good outcome in 48 patients with 6 years' follow-up. Acta Orhop Scand. 2001;72:359–364
  33. Volgas DA, Stannard JP, Alonso JE. Nonunions of the humerus. Clin Orthop. 2004;419:46–50
  34. Ward EF, Savoie FH, Hughes JL. Fractures of the diaphyseal humerus. In:  Browner BD,  Jupiter JB,  Levine AM,  Trafton PG editor. Skeletal trauma: fractures, dislocations, ligamentous injuries. 2nd ed.. Philadelphia, PA: WB Saunders; 1998;p. 1523–1547
  35. Wu CC. Humeral shaft nonunion treated by a Seidel interlocking nail with a supplementary staple. Clin Orthop. 1996;326:203–208

PII: S1058-2746(08)00250-4

doi: 10.1016/j.jse.2007.12.011

Journal of Shoulder and Elbow Surgery
Volume 17, Issue 4 , Pages 578-584 , July 2008

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