Free vascularized corticoperiosteal bone graft for the treatment of persistent nonunion of the clavicle

Bruno Fuchs; Scott P. Steinmann; Allen T. Bishop

doi:10.1016/j.jse.2004.06.007

Free vascularized corticoperiosteal bone graft for the treatment of persistent nonunion of the clavicle

Bruno Fuchs, Scott P. Steinmann, Allen T. Bishop

Orthopedic Surgery

Research output: Contribution to journal › Article › peer-review

97 Scopus citations

Abstract

Radiation-induced necrosis or infection can result in a persistent nonunion of the clavicle. We describe 3 cases in which a free vascularized corticoperiosteal flap was harvested from the medial aspect of the femoral condyle and transferred to the fractured clavicle by use of microvascular anastomoses. Healing was confirmed by tomography in all 3 patients. The function of the upper extremity was remarkably improved at final follow-up. Vascularized free corticoperiosteal bone flaps are an option in clavicle fracture treatment. The technique of periosteal grafting is ideally suited to chronic nonunions with poor chances of healing on their own. Rapid subperiosteal new bone and improved local blood flow serve to correct many of those changes attributed to necrosis of bone.

Original language	English (US)
Pages (from-to)	264-268
Number of pages	5
Journal	Journal of Shoulder and Elbow Surgery
Volume	14
Issue number	3
DOIs	https://doi.org/10.1016/j.jse.2004.06.007
State	Published - May 2005

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

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10.1016/j.jse.2004.06.007

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title = "Free vascularized corticoperiosteal bone graft for the treatment of persistent nonunion of the clavicle",

abstract = "Radiation-induced necrosis or infection can result in a persistent nonunion of the clavicle. We describe 3 cases in which a free vascularized corticoperiosteal flap was harvested from the medial aspect of the femoral condyle and transferred to the fractured clavicle by use of microvascular anastomoses. Healing was confirmed by tomography in all 3 patients. The function of the upper extremity was remarkably improved at final follow-up. Vascularized free corticoperiosteal bone flaps are an option in clavicle fracture treatment. The technique of periosteal grafting is ideally suited to chronic nonunions with poor chances of healing on their own. Rapid subperiosteal new bone and improved local blood flow serve to correct many of those changes attributed to necrosis of bone.",

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AU - Fuchs, Bruno

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AU - Bishop, Allen T.

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N2 - Radiation-induced necrosis or infection can result in a persistent nonunion of the clavicle. We describe 3 cases in which a free vascularized corticoperiosteal flap was harvested from the medial aspect of the femoral condyle and transferred to the fractured clavicle by use of microvascular anastomoses. Healing was confirmed by tomography in all 3 patients. The function of the upper extremity was remarkably improved at final follow-up. Vascularized free corticoperiosteal bone flaps are an option in clavicle fracture treatment. The technique of periosteal grafting is ideally suited to chronic nonunions with poor chances of healing on their own. Rapid subperiosteal new bone and improved local blood flow serve to correct many of those changes attributed to necrosis of bone.

AB - Radiation-induced necrosis or infection can result in a persistent nonunion of the clavicle. We describe 3 cases in which a free vascularized corticoperiosteal flap was harvested from the medial aspect of the femoral condyle and transferred to the fractured clavicle by use of microvascular anastomoses. Healing was confirmed by tomography in all 3 patients. The function of the upper extremity was remarkably improved at final follow-up. Vascularized free corticoperiosteal bone flaps are an option in clavicle fracture treatment. The technique of periosteal grafting is ideally suited to chronic nonunions with poor chances of healing on their own. Rapid subperiosteal new bone and improved local blood flow serve to correct many of those changes attributed to necrosis of bone.

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Free vascularized corticoperiosteal bone graft for the treatment of persistent nonunion of the clavicle

Abstract

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