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Treatment of segmental defects of the radius with use of the vascularized osteoseptocutaneous fibular autogenous graft.

Publication ,  Journal Article
Jupiter, JB; Gerhard, HJ; Guerrero, J; Nunley, JA; Levin, LS
Published in: J Bone Joint Surg Am
April 1997

Nine patients who had a complex, combined skeletal and soft-tissue defect involving the radius were managed with operative reconstruction with use of a vascularized osteoseptocutaneous fibular autogenous graft. All of the patients were male, and the average age was thirty-two years (range, twenty-one to forty-two years). Three patients sustained the injury as the result of a gunshot wound and two each, as the result of a motor-vehicle accident, a fall from a height, or a machinery-related accident. Five patients had a concomitant fracture of the ulna. The average length of the radial defect was seven centimeters. Six patients had a deep osseous infection. The average length of the fibular autogenous graft was 7.9 centimeters, and the average size of the associated fasciocutaneous component was 11.8 by 5.9 centimeters. Two patients had a concomitant arthrodesis of the wrist. A split-thickness skin graft was used to close the donor site in six patients. Two patients had postoperative vascular complications that necessitated revision with an autogenous vein graft. One patient had a second operation six months postoperatively to correct an angular deformity that had developed secondary to a non-union at the graft-host bone junction. After an average duration of follow-up of twenty-four months, all but one of the patients had radiographic evidence of osseous union at both the proximal and the distal graft-host bone junction. No patient had evidence of resorption of the graft or symptoms referable to the donor leg at the time of the most recent examination. Six patients had returned to their preinjury occupation.

Duke Scholars

Published In

J Bone Joint Surg Am

DOI

ISSN

0021-9355

Publication Date

April 1997

Volume

79

Issue

4

Start / End Page

542 / 550

Location

United States

Related Subject Headings

  • Ulna Fractures
  • Treatment Outcome
  • Reoperation
  • Radius Fractures
  • Radiography
  • Prostheses and Implants
  • Orthopedics
  • Male
  • Humans
  • Fracture Healing
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Jupiter, J. B., Gerhard, H. J., Guerrero, J., Nunley, J. A., & Levin, L. S. (1997). Treatment of segmental defects of the radius with use of the vascularized osteoseptocutaneous fibular autogenous graft. J Bone Joint Surg Am, 79(4), 542–550. https://doi.org/10.2106/00004623-199704000-00009
Jupiter, J. B., H. J. Gerhard, J. Guerrero, J. A. Nunley, and L. S. Levin. “Treatment of segmental defects of the radius with use of the vascularized osteoseptocutaneous fibular autogenous graft.J Bone Joint Surg Am 79, no. 4 (April 1997): 542–50. https://doi.org/10.2106/00004623-199704000-00009.
Jupiter JB, Gerhard HJ, Guerrero J, Nunley JA, Levin LS. Treatment of segmental defects of the radius with use of the vascularized osteoseptocutaneous fibular autogenous graft. J Bone Joint Surg Am. 1997 Apr;79(4):542–50.
Jupiter, J. B., et al. “Treatment of segmental defects of the radius with use of the vascularized osteoseptocutaneous fibular autogenous graft.J Bone Joint Surg Am, vol. 79, no. 4, Apr. 1997, pp. 542–50. Pubmed, doi:10.2106/00004623-199704000-00009.
Jupiter JB, Gerhard HJ, Guerrero J, Nunley JA, Levin LS. Treatment of segmental defects of the radius with use of the vascularized osteoseptocutaneous fibular autogenous graft. J Bone Joint Surg Am. 1997 Apr;79(4):542–550.
Journal cover image

Published In

J Bone Joint Surg Am

DOI

ISSN

0021-9355

Publication Date

April 1997

Volume

79

Issue

4

Start / End Page

542 / 550

Location

United States

Related Subject Headings

  • Ulna Fractures
  • Treatment Outcome
  • Reoperation
  • Radius Fractures
  • Radiography
  • Prostheses and Implants
  • Orthopedics
  • Male
  • Humans
  • Fracture Healing