Free vascularized osteoseptocutaneous fibular flap for radius shaft nonunion: The final solution when the iliac crest autograft fails. A case report. (December 2018)

• Record Type: Journal Article
• Authors: Vicenti, Giovanni; Maruccia, Michele; Carrozzo, Massimiliano; Elia, Rossella; Giudice, Giuseppe; Moretti, Biagio
• Is Part Of: Injury. Volume 49(2018)Supplement 4
• Page Start: S63
• Page End: S70
• Publication Date: 2018-12
• Subjects: Nonunion -- Forearm nonunion -- Radius nonunion -- Vascularized osteoseptocutaneous fibular autogenous graft -- Iliac crest autograft; Wounds and injuries -- Surgery -- Periodicals; Accidents -- Periodicals; Wounds and Injuries -- surgery -- Periodicals; Lésions et blessures -- Chirurgie -- Périodiques; Electronic journals; Electronic journals; 617.1
• DOI: 10.1016/j.injury.2018.11.030
• Languages: English
• ISSNs: 0020-1383

Abstract

Abstract: Treatment of forearm nonunion associated with bone defects can be challenging. Restoring the correct length and rotation are two main principles for the management of these patients. Herein, we describe a patient with isolated radius nonunion already treated with an iliac crest autograft with no success. A free vascularized osteoseptocutaneous fibular autogenous graft was harvested as the final solution to managed long bone defect after previous multiple surgeries. At the 1- year follow-up, the patient gained full range of motion and was functioning well.