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[Reconstruction of the loss of bone substance of the forearm by cubitalization of the radius (one bone forearm). Apropos of 6 cases].
Ann Chir Main Memb Super
February 1997
Service de chirurgie Orthopédique et Reconstructrice de l'Hôpital Bichat, Paris.
Extensive forearm bone loss, whatever its etiology, presents a difficult reconstruction problem. This is mainly the case in the presence of lesions of the interosseous membrane associated with the radio-ulnar joint. When preservation of forearm rotation is not possible, cubitalization of the radius and reconstruction of the forearm by creation of a "one bone forearm" seems to be an excellent salvage technique both functionally and cosmetically.
View Article and Find Full Text PDFThe article analyses modern methods for the restoration of of defects in the metacarpal bones, based on microsurgical techniques. A case is described in which a new method for one-stage reconstruction of the hand in combined traumatic defect in the first and second metacarpal bones and an extensive defect in the soft tissues on the back of the hand was used. The hand was reconstructed by means of a vascularized complex autograft on a common vascular pedicle which included two separate fragments of the scapula and a fascial flap of the scapular region.
View Article and Find Full Text PDFThe authors describe a technique of rotation of a leg flap which is divided into several phases : the flap is prepared and left in place, then two or three weeks later is applied to the area of loss of substance. Finally, the donor site is grafted. This unusual technique gives excellent results when used to cover loss of substance secondary to cutaneo-osseous sepsis of the leg.
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