J Korean Soc Microsurg.  2011 May;20(1):82-88.

Reconstruction of Wrist Joint Using Vascularized Free Fibular Head Graft After the Wide Tumor Excision of Distal Radius

• Song SW
• Lee YM

Abstract

Vascularized free fibula head transfer is an established method for reconstruction of long bone defects of the upper limb involving the distal radius or the proximal humerus. For the wrist following tumor resection, in cases of resection of the radial articular surface, three reconstructive options are possible: 1. fibular head transfer to replace the radial joint surface, 2. fixation of the fibula to the scaphoid and lunate, 3. complete wrist fusion. The decision on the type of the operation depends on the amount of the resection and the remained normal anatomical structures, and also the necessity of function of the wrist in the future. The authors believe that the vascularized free fibula head graft is a safe and reliable method for reconstructing the upper limb, especially for patients with a defect of the distal radius, and report the operative methods, donor vascular consideration, complications, and functional result after this operation.

Keyword

Distal radius malignancy; Vascularized fibular head graft; Wrist reconstruction

MeSH Terms

Fibula
Head
Humans
Humerus
Joints
Radius
Tissue Donors
Transplants
Upper Extremity
Wrist
Wrist Joint