Skip to main content

Advertisement

SpringerLink
Log in

Rekonstruktion des dia-/metaphysären distalen Radius und der A. radialis bei Infektpseudoarthrose

Der y-förmige vaskularisierte Fibulatransfer – ein komplexer Fall

Reconstruction of the distal dia-/metaphyseal radius and radial artery in infectious pseudoarthrosis

Vascularized y-shaped fibula transfer: a complex case

  • Fallbericht
  • Published:
Obere Extremität Aims and scope Submit manuscript

Zusammenfassung

Beschreibung eines komplexen Verlaufs nach Mountainbikeunfall mit zweitgradig offener Unterarmfraktur. Nach der Primärversorgung mittels Fixateur externe erfolgte eine Plattenosteosynthese, welche bei implantatassoziiertem Infekt zur Pseudarthrosebildung führte. Die Rekonstruktion erfolgte mit einem y-förmigen vaskularisiertem Fibulatransplantat als Durchflusstransplantat unter Rekonstruktion der stenosierten A. radialis.

Abstract

Case description of the complex course following a mountain bike accident with grade II open fracture of the forearm. Initial treatment was performed with external fixation. Complications after definitive osteosynthesis with plates led to an implant-related infected nonunion. To restore the defect, a y-shaped vascularized fibular graft was used with reconstruction of the stenosed radial artery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3
Abb. 4
Abb. 5
Abb. 6

Literatur

  1. Patzakis MJ, Wilkins J (1989) Factors influencing infection rate in open fracture wounds. Clin Orthop Relat Res (243):36–40

  2. Gustilo RB, Anderson JT (1976) Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg Am 58(4):453–458

    CAS  PubMed  Google Scholar 

  3. Zalavras CG, Marcus RE, Levin LS, Patzakis MJ (2007) Management of open fractures and subsequent complications. J Bone Joint Surg Am 89(4):884–895

    PubMed  Google Scholar 

  4. Zimmerli W, Trampuz A, Ochsner PE (2004) Prosthetic-joint infections. N Engl J Med 351(16):1645–1654

    Article  CAS  PubMed  Google Scholar 

  5. Han CS, Wood MB, Bishop AT et al (1992) Vascularized bone transfer. J Bone Joint Surg Am 74:1441–1449

    CAS  PubMed  Google Scholar 

  6. Minami A, Kaneda K, Itoga H (1992) Treatment of infected segmental defect of long bone with vascularized bone transfer. J Reconstr Microsurg 8:75–82

    Article  CAS  PubMed  Google Scholar 

  7. Minami A, Kaneda K, Itoga H, Usui M (1989) Free vascularized fibular grafts. J Reconstr Microsurg 5:37–43

    Article  CAS  PubMed  Google Scholar 

  8. Eward WC, Kontogeorgakos V, Levin LS, Brigman BE (2010) Free vascularized fibular graft reconstruction of large skeletal defects after tumor resection. Clin Orthop Relat Res 468:590–598

    Article  PubMed  Google Scholar 

  9. Eisenschenk A, Lehnert, Weber (1994) Die freie, gefässgestielte Fibulatransplantation zur Überbrückung von Knochendefekten. Orthop Traumatol 6(2):107–118

    Article  Google Scholar 

  10. Malizos KN, Beris AE, Xenakis TA, Korobilias AB, Soucacos PN (1992) Free vascularized fibular graft: a versatile graft for reconstruction of large skeletal defects and revascularization of necrotic bone. Microsurgery 13(4):182–187

    Article  CAS  PubMed  Google Scholar 

  11. Wei FC, Santamaria E, Chang YM, Chen HC (1997) Mandibular reconstruction with fibular osteoseptocutaneous free flap and simultaneous placement of osseointegrated dental implants. J Craniofac Surg 8(6):512–521

    Article  CAS  PubMed  Google Scholar 

  12. Noaman HH (2013) Management of upper limb bone defects using free vascularized osteoseptocutaneous fibular bone graft. Ann Plast Surg 71(5):503–509

    Article  CAS  PubMed  Google Scholar 

  13. Jupiter JB, Gerhard HJ, Guerrero J, Nunley JA, Levin LS (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

    CAS  PubMed  Google Scholar 

  14. Shimizu T, Yajima H, Kobata Y, Shigematsu K, Kawamura K, Takakura Y (2008) Vascularized proximal fibular autograft for treatment of post-traumatic segmental bony defects in the distal radius. J Reconstr Microsurg 24(8):565–568

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Abteilung für Handchirurgie, Kantonsspital Baselland Liestal, Rheinstraße 26, CH-4410, Liestal, Schweiz

    Alexander Frank, Julia Henning, Regula Steiger & Philipp Honigmann

  2. Hochschule für Life Sciences, Fachhochschule Nordwestschweiz, Basel, Schweiz

    Ralf Schumacher

  3. Klinik für Plastische, Rekonstruktive, Ästhetische und Handchirurgie, Universitätsspital Basel, Basel, Schweiz

    Alexander Frank, Dirk Johannes Schaefer & Philipp Honigmann

Authors
  1. Alexander Frank
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Julia Henning
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ralf Schumacher
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Dirk Johannes Schaefer
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Regula Steiger
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Philipp Honigmann
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding authors

Correspondence to Alexander Frank or Julia Henning.

Ethics declarations

Interessenskonflikt

A. Frank, J. Henning, R. Schumacher, D.J. Schaefer, R. Steiger und P. Honigmann geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

Alle Patienten, die über Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts zu identifizieren sind, haben hierzu ihre schriftliche Einwilligung gegeben. Im Falle von nicht mündigen Patienten liegt die Einwilligung eines Erziehungsberechtigen oder des gesetzlich bestellten Betreuers vor.

Additional information

A. Frank und J. Henning waren zu gleichen Teilen an dieser Arbeit beteiligt.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Frank, A., Henning, J., Schumacher, R. et al. Rekonstruktion des dia-/metaphysären distalen Radius und der A. radialis bei Infektpseudoarthrose. Obere Extremität 11, 126–129 (2016). https://doi.org/10.1007/s11678-015-0332-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11678-015-0332-2

Schlüsselwörter

Keywords

Search

Navigation