Vascularized Bone Graft Reconstruction for Upper Extremity Defects: A Review

Overview

Journal Arch Plast Surg

Specialty General Surgery

Date 2023 Feb 9

PMID 36755653

Authors

Ava G Chappell

Matthew D Ramsey

Parinaz J Dabestani

Jason H Ko

Affiliations

Soon will be listed here.

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.

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