Bone reconstruction with vascularized free fibula in the treatment of osteomyelitis of the distal radius: a case series
Abstract Osteomyelitis of the distal radius and wrist with bone defect presents a reconstructive challenge. Free fibula grafts have been successfully used in post tumor resection reconstruction of the wrist. We applied these techniques to the reconstruction of wrist adjacent osteomyelitis associated...
Ausführliche Beschreibung
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| Autor*in: |
Guidi, Marco [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2023 |
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| Anmerkung: |
© The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. |
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| Übergeordnetes Werk: |
Enthalten in: European journal of plastic surgery - Berlin : Springer, 1986, 46(2023), 5 vom: 23. März, Seite 785-793 |
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| Übergeordnetes Werk: |
volume:46 ; year:2023 ; number:5 ; day:23 ; month:03 ; pages:785-793 |
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| DOI / URN: |
10.1007/s00238-023-02058-0 |
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SPR053131649 |
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| 520 | |a Abstract Osteomyelitis of the distal radius and wrist with bone defect presents a reconstructive challenge. Free fibula grafts have been successfully used in post tumor resection reconstruction of the wrist. We applied these techniques to the reconstruction of wrist adjacent osteomyelitis associated bone defects and report on the feasibility of the technique in this context. We retrospectively evaluated 4 patients treated from January 2009 to February 2017 with a free fibular osteocutaneous flap for distal radius osteomyelitis. Previous operations, defect size, time of operation, type of fixation, complete bone union, and functional outcomes were assessed. The mean age at surgery was 45.8 years (range 37–60 years). The mean operation time was 430 min (range: 350–570 min). The ulnar head was removed in all patients. The average time to complete bony consolidation was 8 months. Three of the patients were pain-free at rest, and one had a remaining pain rated as VAS 2–3. The average grip strength was 23.6 kg. The use of vascularized fibular grafts for the reconstruction of the distal radius appears to be a reliable solution with satisfactory clinical results. It has the advantage of restoring the continuity of the forearm and wrist in one step using vital bone tissue, which is more resistant to infection than a non-vascularized graft. Level of evidence: Level V, Therapeutic. | ||
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| 650 | 4 | |a Fibulo-scapholunate fusion |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Wrist arthrodesis |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Osteomyelitis |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Vascularized free fibula |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Nietlispach, Viviane |4 aut | |
| 700 | 1 | |a Frueh, Florian Samuel |4 aut | |
| 700 | 1 | |a Kim, Bong-Sung |4 aut | |
| 700 | 1 | |a Besmens, Inga Swantje |4 aut | |
| 700 | 1 | |a Jann, David |4 aut | |
| 700 | 1 | |a Giesen, Thomas |4 aut | |
| 700 | 1 | |a Giovanoli, Pietro |4 aut | |
| 700 | 1 | |a Calcagni, Maurizio |4 aut | |
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10.1007/s00238-023-02058-0 doi (DE-627)SPR053131649 (SPR)s00238-023-02058-0-e DE-627 ger DE-627 rakwb eng Guidi, Marco verfasserin (orcid)0000-0002-4005-0331 aut Bone reconstruction with vascularized free fibula in the treatment of osteomyelitis of the distal radius: a case series 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. Abstract Osteomyelitis of the distal radius and wrist with bone defect presents a reconstructive challenge. Free fibula grafts have been successfully used in post tumor resection reconstruction of the wrist. We applied these techniques to the reconstruction of wrist adjacent osteomyelitis associated bone defects and report on the feasibility of the technique in this context. We retrospectively evaluated 4 patients treated from January 2009 to February 2017 with a free fibular osteocutaneous flap for distal radius osteomyelitis. Previous operations, defect size, time of operation, type of fixation, complete bone union, and functional outcomes were assessed. The mean age at surgery was 45.8 years (range 37–60 years). The mean operation time was 430 min (range: 350–570 min). The ulnar head was removed in all patients. The average time to complete bony consolidation was 8 months. Three of the patients were pain-free at rest, and one had a remaining pain rated as VAS 2–3. The average grip strength was 23.6 kg. The use of vascularized fibular grafts for the reconstruction of the distal radius appears to be a reliable solution with satisfactory clinical results. It has the advantage of restoring the continuity of the forearm and wrist in one step using vital bone tissue, which is more resistant to infection than a non-vascularized graft. Level of evidence: Level V, Therapeutic. Distal radius (dpeaa)DE-He213 Fibulo-scapholunate fusion (dpeaa)DE-He213 Wrist arthrodesis (dpeaa)DE-He213 Osteomyelitis (dpeaa)DE-He213 Vascularized free fibula (dpeaa)DE-He213 Nietlispach, Viviane aut Frueh, Florian Samuel aut Kim, Bong-Sung aut Besmens, Inga Swantje aut Jann, David aut Giesen, Thomas aut Giovanoli, Pietro aut Calcagni, Maurizio aut Enthalten in European journal of plastic surgery Berlin : Springer, 1986 46(2023), 5 vom: 23. März, Seite 785-793 (DE-627)265508436 (DE-600)1464220-7 1435-0130 nnns volume:46 year:2023 number:5 day:23 month:03 pages:785-793 https://dx.doi.org/10.1007/s00238-023-02058-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 46 2023 5 23 03 785-793 |
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10.1007/s00238-023-02058-0 doi (DE-627)SPR053131649 (SPR)s00238-023-02058-0-e DE-627 ger DE-627 rakwb eng Guidi, Marco verfasserin (orcid)0000-0002-4005-0331 aut Bone reconstruction with vascularized free fibula in the treatment of osteomyelitis of the distal radius: a case series 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. Abstract Osteomyelitis of the distal radius and wrist with bone defect presents a reconstructive challenge. Free fibula grafts have been successfully used in post tumor resection reconstruction of the wrist. We applied these techniques to the reconstruction of wrist adjacent osteomyelitis associated bone defects and report on the feasibility of the technique in this context. We retrospectively evaluated 4 patients treated from January 2009 to February 2017 with a free fibular osteocutaneous flap for distal radius osteomyelitis. Previous operations, defect size, time of operation, type of fixation, complete bone union, and functional outcomes were assessed. The mean age at surgery was 45.8 years (range 37–60 years). The mean operation time was 430 min (range: 350–570 min). The ulnar head was removed in all patients. The average time to complete bony consolidation was 8 months. Three of the patients were pain-free at rest, and one had a remaining pain rated as VAS 2–3. The average grip strength was 23.6 kg. The use of vascularized fibular grafts for the reconstruction of the distal radius appears to be a reliable solution with satisfactory clinical results. It has the advantage of restoring the continuity of the forearm and wrist in one step using vital bone tissue, which is more resistant to infection than a non-vascularized graft. Level of evidence: Level V, Therapeutic. Distal radius (dpeaa)DE-He213 Fibulo-scapholunate fusion (dpeaa)DE-He213 Wrist arthrodesis (dpeaa)DE-He213 Osteomyelitis (dpeaa)DE-He213 Vascularized free fibula (dpeaa)DE-He213 Nietlispach, Viviane aut Frueh, Florian Samuel aut Kim, Bong-Sung aut Besmens, Inga Swantje aut Jann, David aut Giesen, Thomas aut Giovanoli, Pietro aut Calcagni, Maurizio aut Enthalten in European journal of plastic surgery Berlin : Springer, 1986 46(2023), 5 vom: 23. März, Seite 785-793 (DE-627)265508436 (DE-600)1464220-7 1435-0130 nnns volume:46 year:2023 number:5 day:23 month:03 pages:785-793 https://dx.doi.org/10.1007/s00238-023-02058-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 46 2023 5 23 03 785-793 |
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10.1007/s00238-023-02058-0 doi (DE-627)SPR053131649 (SPR)s00238-023-02058-0-e DE-627 ger DE-627 rakwb eng Guidi, Marco verfasserin (orcid)0000-0002-4005-0331 aut Bone reconstruction with vascularized free fibula in the treatment of osteomyelitis of the distal radius: a case series 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. Abstract Osteomyelitis of the distal radius and wrist with bone defect presents a reconstructive challenge. Free fibula grafts have been successfully used in post tumor resection reconstruction of the wrist. We applied these techniques to the reconstruction of wrist adjacent osteomyelitis associated bone defects and report on the feasibility of the technique in this context. We retrospectively evaluated 4 patients treated from January 2009 to February 2017 with a free fibular osteocutaneous flap for distal radius osteomyelitis. Previous operations, defect size, time of operation, type of fixation, complete bone union, and functional outcomes were assessed. The mean age at surgery was 45.8 years (range 37–60 years). The mean operation time was 430 min (range: 350–570 min). The ulnar head was removed in all patients. The average time to complete bony consolidation was 8 months. Three of the patients were pain-free at rest, and one had a remaining pain rated as VAS 2–3. The average grip strength was 23.6 kg. The use of vascularized fibular grafts for the reconstruction of the distal radius appears to be a reliable solution with satisfactory clinical results. It has the advantage of restoring the continuity of the forearm and wrist in one step using vital bone tissue, which is more resistant to infection than a non-vascularized graft. Level of evidence: Level V, Therapeutic. Distal radius (dpeaa)DE-He213 Fibulo-scapholunate fusion (dpeaa)DE-He213 Wrist arthrodesis (dpeaa)DE-He213 Osteomyelitis (dpeaa)DE-He213 Vascularized free fibula (dpeaa)DE-He213 Nietlispach, Viviane aut Frueh, Florian Samuel aut Kim, Bong-Sung aut Besmens, Inga Swantje aut Jann, David aut Giesen, Thomas aut Giovanoli, Pietro aut Calcagni, Maurizio aut Enthalten in European journal of plastic surgery Berlin : Springer, 1986 46(2023), 5 vom: 23. März, Seite 785-793 (DE-627)265508436 (DE-600)1464220-7 1435-0130 nnns volume:46 year:2023 number:5 day:23 month:03 pages:785-793 https://dx.doi.org/10.1007/s00238-023-02058-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 46 2023 5 23 03 785-793 |
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10.1007/s00238-023-02058-0 doi (DE-627)SPR053131649 (SPR)s00238-023-02058-0-e DE-627 ger DE-627 rakwb eng Guidi, Marco verfasserin (orcid)0000-0002-4005-0331 aut Bone reconstruction with vascularized free fibula in the treatment of osteomyelitis of the distal radius: a case series 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. Abstract Osteomyelitis of the distal radius and wrist with bone defect presents a reconstructive challenge. Free fibula grafts have been successfully used in post tumor resection reconstruction of the wrist. We applied these techniques to the reconstruction of wrist adjacent osteomyelitis associated bone defects and report on the feasibility of the technique in this context. We retrospectively evaluated 4 patients treated from January 2009 to February 2017 with a free fibular osteocutaneous flap for distal radius osteomyelitis. Previous operations, defect size, time of operation, type of fixation, complete bone union, and functional outcomes were assessed. The mean age at surgery was 45.8 years (range 37–60 years). The mean operation time was 430 min (range: 350–570 min). The ulnar head was removed in all patients. The average time to complete bony consolidation was 8 months. Three of the patients were pain-free at rest, and one had a remaining pain rated as VAS 2–3. The average grip strength was 23.6 kg. The use of vascularized fibular grafts for the reconstruction of the distal radius appears to be a reliable solution with satisfactory clinical results. It has the advantage of restoring the continuity of the forearm and wrist in one step using vital bone tissue, which is more resistant to infection than a non-vascularized graft. Level of evidence: Level V, Therapeutic. Distal radius (dpeaa)DE-He213 Fibulo-scapholunate fusion (dpeaa)DE-He213 Wrist arthrodesis (dpeaa)DE-He213 Osteomyelitis (dpeaa)DE-He213 Vascularized free fibula (dpeaa)DE-He213 Nietlispach, Viviane aut Frueh, Florian Samuel aut Kim, Bong-Sung aut Besmens, Inga Swantje aut Jann, David aut Giesen, Thomas aut Giovanoli, Pietro aut Calcagni, Maurizio aut Enthalten in European journal of plastic surgery Berlin : Springer, 1986 46(2023), 5 vom: 23. März, Seite 785-793 (DE-627)265508436 (DE-600)1464220-7 1435-0130 nnns volume:46 year:2023 number:5 day:23 month:03 pages:785-793 https://dx.doi.org/10.1007/s00238-023-02058-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 46 2023 5 23 03 785-793 |
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10.1007/s00238-023-02058-0 doi (DE-627)SPR053131649 (SPR)s00238-023-02058-0-e DE-627 ger DE-627 rakwb eng Guidi, Marco verfasserin (orcid)0000-0002-4005-0331 aut Bone reconstruction with vascularized free fibula in the treatment of osteomyelitis of the distal radius: a case series 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. Abstract Osteomyelitis of the distal radius and wrist with bone defect presents a reconstructive challenge. Free fibula grafts have been successfully used in post tumor resection reconstruction of the wrist. We applied these techniques to the reconstruction of wrist adjacent osteomyelitis associated bone defects and report on the feasibility of the technique in this context. We retrospectively evaluated 4 patients treated from January 2009 to February 2017 with a free fibular osteocutaneous flap for distal radius osteomyelitis. Previous operations, defect size, time of operation, type of fixation, complete bone union, and functional outcomes were assessed. The mean age at surgery was 45.8 years (range 37–60 years). The mean operation time was 430 min (range: 350–570 min). The ulnar head was removed in all patients. The average time to complete bony consolidation was 8 months. Three of the patients were pain-free at rest, and one had a remaining pain rated as VAS 2–3. The average grip strength was 23.6 kg. The use of vascularized fibular grafts for the reconstruction of the distal radius appears to be a reliable solution with satisfactory clinical results. It has the advantage of restoring the continuity of the forearm and wrist in one step using vital bone tissue, which is more resistant to infection than a non-vascularized graft. Level of evidence: Level V, Therapeutic. Distal radius (dpeaa)DE-He213 Fibulo-scapholunate fusion (dpeaa)DE-He213 Wrist arthrodesis (dpeaa)DE-He213 Osteomyelitis (dpeaa)DE-He213 Vascularized free fibula (dpeaa)DE-He213 Nietlispach, Viviane aut Frueh, Florian Samuel aut Kim, Bong-Sung aut Besmens, Inga Swantje aut Jann, David aut Giesen, Thomas aut Giovanoli, Pietro aut Calcagni, Maurizio aut Enthalten in European journal of plastic surgery Berlin : Springer, 1986 46(2023), 5 vom: 23. März, Seite 785-793 (DE-627)265508436 (DE-600)1464220-7 1435-0130 nnns volume:46 year:2023 number:5 day:23 month:03 pages:785-793 https://dx.doi.org/10.1007/s00238-023-02058-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 46 2023 5 23 03 785-793 |
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Distal radius Fibulo-scapholunate fusion Wrist arthrodesis Osteomyelitis Vascularized free fibula |
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Guidi, Marco @@aut@@ Nietlispach, Viviane @@aut@@ Frueh, Florian Samuel @@aut@@ Kim, Bong-Sung @@aut@@ Besmens, Inga Swantje @@aut@@ Jann, David @@aut@@ Giesen, Thomas @@aut@@ Giovanoli, Pietro @@aut@@ Calcagni, Maurizio @@aut@@ |
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Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Abstract Osteomyelitis of the distal radius and wrist with bone defect presents a reconstructive challenge. Free fibula grafts have been successfully used in post tumor resection reconstruction of the wrist. We applied these techniques to the reconstruction of wrist adjacent osteomyelitis associated bone defects and report on the feasibility of the technique in this context. We retrospectively evaluated 4 patients treated from January 2009 to February 2017 with a free fibular osteocutaneous flap for distal radius osteomyelitis. Previous operations, defect size, time of operation, type of fixation, complete bone union, and functional outcomes were assessed. The mean age at surgery was 45.8 years (range 37–60 years). The mean operation time was 430 min (range: 350–570 min). The ulnar head was removed in all patients. The average time to complete bony consolidation was 8 months. Three of the patients were pain-free at rest, and one had a remaining pain rated as VAS 2–3. The average grip strength was 23.6 kg. The use of vascularized fibular grafts for the reconstruction of the distal radius appears to be a reliable solution with satisfactory clinical results. It has the advantage of restoring the continuity of the forearm and wrist in one step using vital bone tissue, which is more resistant to infection than a non-vascularized graft. 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Guidi, Marco |
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Guidi, Marco misc Distal radius misc Fibulo-scapholunate fusion misc Wrist arthrodesis misc Osteomyelitis misc Vascularized free fibula Bone reconstruction with vascularized free fibula in the treatment of osteomyelitis of the distal radius: a case series |
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Bone reconstruction with vascularized free fibula in the treatment of osteomyelitis of the distal radius: a case series Distal radius (dpeaa)DE-He213 Fibulo-scapholunate fusion (dpeaa)DE-He213 Wrist arthrodesis (dpeaa)DE-He213 Osteomyelitis (dpeaa)DE-He213 Vascularized free fibula (dpeaa)DE-He213 |
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Bone reconstruction with vascularized free fibula in the treatment of osteomyelitis of the distal radius: a case series |
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Bone reconstruction with vascularized free fibula in the treatment of osteomyelitis of the distal radius: a case series |
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Guidi, Marco Nietlispach, Viviane Frueh, Florian Samuel Kim, Bong-Sung Besmens, Inga Swantje Jann, David Giesen, Thomas Giovanoli, Pietro Calcagni, Maurizio |
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bone reconstruction with vascularized free fibula in the treatment of osteomyelitis of the distal radius: a case series |
| title_auth |
Bone reconstruction with vascularized free fibula in the treatment of osteomyelitis of the distal radius: a case series |
| abstract |
Abstract Osteomyelitis of the distal radius and wrist with bone defect presents a reconstructive challenge. Free fibula grafts have been successfully used in post tumor resection reconstruction of the wrist. We applied these techniques to the reconstruction of wrist adjacent osteomyelitis associated bone defects and report on the feasibility of the technique in this context. We retrospectively evaluated 4 patients treated from January 2009 to February 2017 with a free fibular osteocutaneous flap for distal radius osteomyelitis. Previous operations, defect size, time of operation, type of fixation, complete bone union, and functional outcomes were assessed. The mean age at surgery was 45.8 years (range 37–60 years). The mean operation time was 430 min (range: 350–570 min). The ulnar head was removed in all patients. The average time to complete bony consolidation was 8 months. Three of the patients were pain-free at rest, and one had a remaining pain rated as VAS 2–3. The average grip strength was 23.6 kg. The use of vascularized fibular grafts for the reconstruction of the distal radius appears to be a reliable solution with satisfactory clinical results. It has the advantage of restoring the continuity of the forearm and wrist in one step using vital bone tissue, which is more resistant to infection than a non-vascularized graft. Level of evidence: Level V, Therapeutic. © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. |
| abstractGer |
Abstract Osteomyelitis of the distal radius and wrist with bone defect presents a reconstructive challenge. Free fibula grafts have been successfully used in post tumor resection reconstruction of the wrist. We applied these techniques to the reconstruction of wrist adjacent osteomyelitis associated bone defects and report on the feasibility of the technique in this context. We retrospectively evaluated 4 patients treated from January 2009 to February 2017 with a free fibular osteocutaneous flap for distal radius osteomyelitis. Previous operations, defect size, time of operation, type of fixation, complete bone union, and functional outcomes were assessed. The mean age at surgery was 45.8 years (range 37–60 years). The mean operation time was 430 min (range: 350–570 min). The ulnar head was removed in all patients. The average time to complete bony consolidation was 8 months. Three of the patients were pain-free at rest, and one had a remaining pain rated as VAS 2–3. The average grip strength was 23.6 kg. The use of vascularized fibular grafts for the reconstruction of the distal radius appears to be a reliable solution with satisfactory clinical results. It has the advantage of restoring the continuity of the forearm and wrist in one step using vital bone tissue, which is more resistant to infection than a non-vascularized graft. Level of evidence: Level V, Therapeutic. © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. |
| abstract_unstemmed |
Abstract Osteomyelitis of the distal radius and wrist with bone defect presents a reconstructive challenge. Free fibula grafts have been successfully used in post tumor resection reconstruction of the wrist. We applied these techniques to the reconstruction of wrist adjacent osteomyelitis associated bone defects and report on the feasibility of the technique in this context. We retrospectively evaluated 4 patients treated from January 2009 to February 2017 with a free fibular osteocutaneous flap for distal radius osteomyelitis. Previous operations, defect size, time of operation, type of fixation, complete bone union, and functional outcomes were assessed. The mean age at surgery was 45.8 years (range 37–60 years). The mean operation time was 430 min (range: 350–570 min). The ulnar head was removed in all patients. The average time to complete bony consolidation was 8 months. Three of the patients were pain-free at rest, and one had a remaining pain rated as VAS 2–3. The average grip strength was 23.6 kg. The use of vascularized fibular grafts for the reconstruction of the distal radius appears to be a reliable solution with satisfactory clinical results. It has the advantage of restoring the continuity of the forearm and wrist in one step using vital bone tissue, which is more resistant to infection than a non-vascularized graft. Level of evidence: Level V, Therapeutic. © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. |
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Bone reconstruction with vascularized free fibula in the treatment of osteomyelitis of the distal radius: a case series |
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Nietlispach, Viviane Frueh, Florian Samuel Kim, Bong-Sung Besmens, Inga Swantje Jann, David Giesen, Thomas Giovanoli, Pietro Calcagni, Maurizio |
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Nietlispach, Viviane Frueh, Florian Samuel Kim, Bong-Sung Besmens, Inga Swantje Jann, David Giesen, Thomas Giovanoli, Pietro Calcagni, Maurizio |
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| score |
7.4001417 |