Use of Osteofasciocutaneous Fibular Free Flap and Radial Head Arthroplasty in Trauma for Limb Salvage and Continued Elbow Function
Reconstructive flaps have revolutionized the ability of surgeons to restore function and cosmesis for patients. While reconstructive flaps have been used to bridge large defects due to oncologic or congenital maladies necessitating large debridements, few cases have observed salvage flaps in traumas...
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Hindawi Limited
2018-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2018/8295736 |
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doaj-6a2de4042b034d92b915988eb01c7bcb2020-11-24T23:01:22ZengHindawi LimitedCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/82957368295736Use of Osteofasciocutaneous Fibular Free Flap and Radial Head Arthroplasty in Trauma for Limb Salvage and Continued Elbow FunctionCatherine Kilmartin0Katharine D. Harper1Chirag Mehta2Joseph Thoder3Andrew Newman4Department of Surgery, Temple University School of Medicine, Philadelphia, PA, USADivision of Orthopedic Surgery, Department of Surgery, Temple University of Medicine, Philadelphia, PA, USADivision of Plastic Surgery, Department of Surgery, Temple University of Medicine, Philadelphia, PA, USADivision of Orthopedic Surgery, Department of Surgery, Temple University of Medicine, Philadelphia, PA, USADivision of Plastic Surgery, Department of Surgery, Cooper University Hospital, Camden, NJ, USAReconstructive flaps have revolutionized the ability of surgeons to restore function and cosmesis for patients. While reconstructive flaps have been used to bridge large defects due to oncologic or congenital maladies necessitating large debridements, few cases have observed salvage flaps in traumas which provide additional challenges secondary to an injury trajectory. This case report details use of an osteofasciocutaneous fibular free flap and radial head prosthesis to restore forearm function in a 64-year-old female with a comminuted fracture of the proximal radius. The patient has sustained a 5.5 cm epiphyseal radial defect with an associated 20 × 15 cm overlying tissue defect after serial debridement. In review of the literature, only one nontraumatic case using a combined free flap and radial head prosthesis for proximal forearm defect to restore joint function has been reported. We suggest that, for proximal forearm fractures, this technique can be used to restore elbow joint function in limb salvage.http://dx.doi.org/10.1155/2018/8295736 |
| collection |
DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Catherine Kilmartin Katharine D. Harper Chirag Mehta Joseph Thoder Andrew Newman |
| spellingShingle |
Catherine Kilmartin Katharine D. Harper Chirag Mehta Joseph Thoder Andrew Newman Use of Osteofasciocutaneous Fibular Free Flap and Radial Head Arthroplasty in Trauma for Limb Salvage and Continued Elbow Function Case Reports in Orthopedics |
| author_facet |
Catherine Kilmartin Katharine D. Harper Chirag Mehta Joseph Thoder Andrew Newman |
| author_sort |
Catherine Kilmartin |
| title |
Use of Osteofasciocutaneous Fibular Free Flap and Radial Head Arthroplasty in Trauma for Limb Salvage and Continued Elbow Function |
| title_short |
Use of Osteofasciocutaneous Fibular Free Flap and Radial Head Arthroplasty in Trauma for Limb Salvage and Continued Elbow Function |
| title_full |
Use of Osteofasciocutaneous Fibular Free Flap and Radial Head Arthroplasty in Trauma for Limb Salvage and Continued Elbow Function |
| title_fullStr |
Use of Osteofasciocutaneous Fibular Free Flap and Radial Head Arthroplasty in Trauma for Limb Salvage and Continued Elbow Function |
| title_full_unstemmed |
Use of Osteofasciocutaneous Fibular Free Flap and Radial Head Arthroplasty in Trauma for Limb Salvage and Continued Elbow Function |
| title_sort |
use of osteofasciocutaneous fibular free flap and radial head arthroplasty in trauma for limb salvage and continued elbow function |
| publisher |
Hindawi Limited |
| series |
Case Reports in Orthopedics |
| issn |
2090-6749 2090-6757 |
| publishDate |
2018-01-01 |
| description |
Reconstructive flaps have revolutionized the ability of surgeons to restore function and cosmesis for patients. While reconstructive flaps have been used to bridge large defects due to oncologic or congenital maladies necessitating large debridements, few cases have observed salvage flaps in traumas which provide additional challenges secondary to an injury trajectory. This case report details use of an osteofasciocutaneous fibular free flap and radial head prosthesis to restore forearm function in a 64-year-old female with a comminuted fracture of the proximal radius. The patient has sustained a 5.5 cm epiphyseal radial defect with an associated 20 × 15 cm overlying tissue defect after serial debridement. In review of the literature, only one nontraumatic case using a combined free flap and radial head prosthesis for proximal forearm defect to restore joint function has been reported. We suggest that, for proximal forearm fractures, this technique can be used to restore elbow joint function in limb salvage. |
| url |
http://dx.doi.org/10.1155/2018/8295736 |
| work_keys_str_mv |
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