Abstract
Background/Aim: Non-vascularized methods to reconstruct bone defects following tumor resection are associated with complications. As a result, the free vascularized fibular flap (FVF) has become a mainstay for reconstruction. The purpose of this study was to analyze FVF reconstruction in the upper extremity. Patients and Methods: We reviewed 28 (14 female and 14 male, mean age of 29±20 years) patients reconstructed with an FVF in the upper extremity following tumor resection. Reconstruction most commonly involved the humerus (n=17, 61%) and a malignant (n=23, 82%) tumor. Results: The limb salvage rate was 93% (n=26), with primary union occurring in 71% (n=20) of patients. Following bone grafting the overall union was 96% (n=27) at a mean 13±11 months. At most recent follow-up the mean MSTS93 rating was 82±22%. Conclusion: FVF effectively provided a functional reconstruction following tumor resection. Although, one in four patients will need additional bone grafting, the overall union rate is high.
Original language | English (US) |
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Pages (from-to) | 2751-2755 |
Number of pages | 5 |
Journal | Anticancer research |
Volume | 40 |
Issue number | 5 |
DOIs | |
State | Published - May 2020 |
Keywords
- Free vascularized fibula flap
- Limb salvage
- Oncologic resection
- Upper extremity
ASJC Scopus subject areas
- Oncology
- Cancer Research