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CC BY-NC-ND 4.0 · Arch Plast Surg 2023; 50(01): 082-095
DOI: 10.1055/s-0042-1758639
Hand/Peripheral Nerve
Review Article

Vascularized Bone Graft Reconstruction for Upper Extremity Defects: A Review

Ava G. Chappell 
1   Division of Plastic and Reconstructive Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois
,
Matthew D. Ramsey 
1   Division of Plastic and Reconstructive Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois
,
Parinaz J. Dabestani 
2   Division of Plastic and Reconstructive Surgery, Department of Surgery, Loyola University Medical Center, Maywood, Illinois
,
Jason H. Ko 
1   Division of Plastic and Reconstructive Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois
› Author Affiliations Funding None.
› Further Information
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Abstract

Upper extremity reconstruction may pose clinical challenges for surgeons due to the often-critical, complex functional demands of the damaged and/or missing structures. The advent of vascularized bone grafts (VBGs) has aided in reconstruction of upper extremity (UE) defects due to their superior regenerative properties compared with nonvascularized bone grafts, ability to reconstruct large bony defects, and multiple donor site options. VBGs may be pedicled or free transfers and have the potential for composite tissue transfers when bone and soft tissue are needed. This article provides a comprehensive up-to-date review of VBGs, the commonly reported donor sites, and their indications for the treatment of specific UE defects.

Keywords

vascularized bone graft - upper extremity - composite tissue transfer - microsurgery - reconstructive surgery - surgical flaps - pedicled bone graft - free bone graft

Authors' Contributions

J.H.K., A.G.C., M.D.R, and P.J.D. contributed to conceptualization, writing-review & editing: all authors. A.G.C., M.D.R., and P.J.D. wrote original draft. J.H.K supervised the study. All authors A.G.C., M.D.R., P.J.D., J.H.K. contributed to the creation of the manuscript and meet the criteria for authorship.


Patient Consent

Written consents for clinical photographs were obtained from patients.




Publication History

Received: 19 September 2021

Accepted: 04 August 2022

Article published online:
06 February 2023

© 2023. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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