Vascularized Bone Grafts in Orthopaedic Surgery: A Review of Options and Indications

Anthony J. Archual, Allen T. Bishop, Alexander Y. Shin

Research output: Contribution to journalReview articlepeer-review

Abstract

Vascularized bone grafts have demonstrated increased perfusion, structural integrity, and ability to achieve good outcomes in challenging clinical situations when compared with nonvascularized grafts. These grafts may be pedicled or free, and bring perfused, viable bone into areas of impaired healing. Although numerous grafts have been described, a few grafts have demonstrated particular usefulness and versatility. Pedicled grafts from the distal radius, medial femoral condyle, ribs, and fibula have improved outcomes in challenging situations without the need for microsurgery. Free grafts from the fibula and medial femoral condyle/trochlea, although they require microsurgical anastomosis, can be transferred to virtually any site in the body and have expanding indications. The capacity of these grafts to achieve favorable outcomes in difficult cases make them a powerful tool for orthopaedic surgeons to have in their armamentarium.

Original languageEnglish (US)
Pages (from-to)60-69
Number of pages10
JournalThe Journal of the American Academy of Orthopaedic Surgeons
Volume30
Issue number2
DOIs
StatePublished - Jan 15 2022

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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