Abstract
Great evolution has taken place in Orthopaedic Traumatology, regarding techniques,
surgical means and equipment. However, we still encounter complicated cases of limb
trauma that necessitate microvascular reconstruction. Through three different illustrative
cases (one emergency foot revascularization by a free flap, covering an ankle arthrodesis
and bridging the anterior tibial artery, one cure of a complex infected tibial non-union
with extensive skeletal defect by double barrel fibular transfer and one osteo-chondral
reconstruction of the scaphoid proximal pole using a vascularized graft harvested
from the femoral medial condyle), the authors remind the Orthopaedic community about
the benefits of microsurgery, especially if used in proper indication and timing.
This article is a plea to preserve the knowledge and develop the technical abilities
of microvascular techniques in the departments of Orthopaedics and Traumatology.
Keywords
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References
- The concept of induced membrane for reconstruction of long bone defects.Orthop Clin North Am. 2010; 41: 27-37
- Masquelet technique for the treatment of bone defects: tips-tricks and future directions.Injury. Jun 2011; 42: 591-598
- Induced membrane technique: pearls and pitfalls.J Orthop Trauma. 2017; 31: S36-S38
- The “double barrel” free vascularized fibular bone graft.Plast Reconstr Surg. 1988; 81: 378-385
- Double-barrel fibular graft for metaphyseal areas reconstruction around the knee.Orthop Traumatol Surg Res OTSR. 2010; 96: 868-875
- The arterial anatomy of the medial femoral condyle and its clinical implications.J Hand Surg Eur Vol. Sep 2010; 35: 569-574
- Vascularized medial femoral trochlea osteocartilaginous flap reconstruction of proximal pole scaphoid nonunions.J Hand Surg. 2013; 38: 690-700
- Free vascularized thin corticoperiosteal graft.Plast Reconstr Surg. Feb 1991; 87: 290-298
- Primary arthrodesis of the tibiotalar joint in severely comminuted high-energy pilon fractures.J Bone Joint Surg Am. 2014; 96: e91
- Soft tissue reconstruction after compound tibial fracture: 235 cases over 12 years.J Plast Reconstr Aesthetic Surg JPRAS. 2015; 68: 1276-1285
- Early microsurgical reconstruction of complex trauma of the extremities.Plast Reconstr Surg. 1986; 78: 285-292
- Microsurgical free fibular bone transfer: a technique for reconstruction of large skeletal defects following resection of high-grade malignant tumors.World J Surg. 1988; 12: 310-317
- Vascularized bone transfer for tibial pseudarthrosis. Part II: Vascularized bone and muscle transfers. Exclusive free fibular bone graft.Acta Orthop Belg. 1992; 58: 204-209
- Local complications of massive bone allografts: an appraisal of their prevalence in 128 patients.Acta Orthop Belg. 2014; 80: 196-204
- Hand transplantation and vascularized composite tissue allografts in orthopaedics and traumatology.Orthop Traumatol Surg Res OTSR. 2010; 96: 283-290
Article info
Publication history
Published online: October 23, 2019
Footnotes
This paper is part of a Supplement supported by the European Federation of Societies of Microsurgery (EFSM) and the Serbian Society for Reconstructive Microsurgery (SSRM).
Identification
Copyright
© 2019 Elsevier Ltd. All rights reserved.
