Fibulo-scapho-lunate fusion after resection of the distal radius: Case series, review of the literature and critical analysis of bone fixation. Issue 12 (December 2020)

• Record Type: Journal Article
• Authors: Tos, Pierluigi; Odella, Simona; Crosio, Alessandro; Ciclamini, Davide; Piana, Raimondo; Bastoni, Stefano; Daolio, Primo Andrea
• Is Part Of: Injury. Volume 51:Issue 12(2020)
• Page Start: 2893
• Page End: 2899
• Publication Date: 2020-12
• Subjects: Distal radius reconstruction -- Fibula flap -- Fibulo-scapho-lunate fusion; 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.2020.03.017
• Languages: English
• ISSNs: 0020-1383

Abstract

Highlights: Distal radius reconstruction with fibula flap after tumor resection allows to conserve wrist motion. The fibulo-scapho-lunate fusion is a well described technique with good functional results. The distal fixation of fibula on proximal carpal row give the sufficient stability for early rehabilitation. Abstract: Fibulo-scapho-lunate fusion is a technique that allows residual movement in the wrist in case of wide bone resection replacing the distal radius by a vascularised fibular transfer. Some authors have used this technique with favourable results but the distal synthesis seems to not be standardised at all, many different osteosynthesis methods have been proposed. This paper reports a complete review of the present day literature about this subject and, evaluating the different proposed osteosynthesis techniques referred in literature, suggests a standardization of the synthesis methods with dorsal plating. We report some technical considerations and results of three cases operated with a stable dorsal osteosynthesis (twice with a double plate and once with a long plate). We evaluate the time of healing and the clinical result.