Repair of forearm long bone defect with fibula free flap fixed by screw and complementary osteotomy in 8 cases

Abstract

Abstract:

Objective　To explore the clinical effect of repairing forearm long bone defect with free fibula flap fixed by screw

and complementary osteotomy. Methods　From March 2013 to June 2019, 8 cases of forearm bone defects were repaired by free

fibular flap with complementary osteotomy and screw fixation, including 3 cases of radius and 5 cases of ulna. The length of bone

defect ranged from 4.5 cm to 10.5 cm. Results　All the free fibular flaps survived after operation, and one of them had a vascu

lar crisis. Surgical exploration revealed venous embolism, and the fibula flap survived after vascular transplantation. After 8-24

months of follow-up, 2 cases were excellent, 5 cases were good and 1 case was fair according to the evaluation standard of upper

limb function of Chinese Hand Surgery Society. The wound healing of the donor site of the lower leg was good, and there were no

obvious abnormalities in weight bearing of the lower limbs and flexion and extension of the toes. Conclusion　Repair of forearm

long bone defect with fibula free flap fixed by screw and complementary osteotomy has good effect, which is an ideal method for

repairing long forearm bone defects

Key words:

　Fibular flap, 　Bone defect, 　Transplantation, 　Microsurgical technique

ZHANG Shuxin, WU Huiping, XU Yongxian, et al.

Repair of forearm long bone defect with fibula free flap fixed by screw and complementary osteotomy in 8 cases [J]. Journal of Tissue Engineering and Reconstructive Surgery, 2023, 19(2): 161-.

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Repair of forearm long bone defect with fibula free flap fixed by screw and complementary osteotomy in 8 cases

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