Center for Orthopaedic Research and Education, University of Athens, School of Medicine, Athens, Greece.
Microsurgery. 2011 Mar;31(3):190-7. doi: 10.1002/micr.20862. Epub 2011 Mar 3.
Large skeletal defects of the upper extremity pose a serious clinical problem with potentially deleterious effects on both function and viability of the limb. Recent advances in the microsurgical techniques involved in free vascularized bone transfers for complex limb injuries have dramatically improved limb salvage and musculoskeletal reconstruction. This study evaluates the clinical and radiographic results of 18 patients who underwent reconstruction of large defects of the long bones of the upper extremity with free vascularized fibular bone grafts. Mean patient age was 27 years (7-43 years) and mean follow-up was 4 years (1-10 years). The results confirm the value of vascularized fibular grafts for bridging large bone defects in the upper extremity.
上肢大骨骼缺损是一个严重的临床问题，可能对肢体的功能和存活能力产生有害影响。游离血管化骨移植治疗复杂肢体损伤中涉及的显微外科技术的最新进展极大地提高了肢体挽救和肌肉骨骼重建的效果。本研究评估了 18 例患者采用游离腓骨骨移植进行上肢长骨大缺损重建的临床和影像学结果。患者平均年龄为 27 岁（7-43 岁），平均随访时间为 4 年（1-10 年）。结果证实了带血管腓骨移植在桥接上肢大骨缺损中的价值。
