Forearm as a valuable source of vascularized bone graft for the distal humerus

Kamrani, Reza Shahryar; Farhadi, Leila; Farhoud, Amir Reza

doi:10.1016/j.jse.2017.09.018

Cited by 8 publications

(6 citation statements)

References 20 publications

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“…The safety and efficacy of PIBF surgery in complex nonunion of the forearm have been previously demonstrated in adults. [14][15][16][17][18][19] In this study, we aimed to evaluate these issues Synostosis, radial head dislocation about using PIBF in complex nonunion of the radius in children with congenital pseudoarthrosis (patients 3 and 4), OI (patient 1), and infantile osteomyelitis (patient 2). Congenital forearm pseudoarthrosis is a sporadic condition with few reports in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…It is safe and effective in complex nonunion of the radius and proximal two-thirds of the ulna in adults. [14][15][16][17][18][19] In this study, we aimed to investigate the outcome of PIBF in treating children with complex radius nonunion.…”

mentioning

confidence: 99%

“…This regional vascularized bone flap does not require micro-anastomoses, which dramatically decreases the surgery time. It is safe and effective in complex nonunion of the radius and proximal two-thirds of the ulna in adults 14–19…”

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confidence: 99%

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Treatment of Recalcitrant Nonunion of the Radius With Posterior Interosseous Bone Flap in Children

Kamrani

Jehanno

Arabzadeh

et al. 2021

Journal of Pediatric Orthopaedics

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Background: Forearm nonunion is a rare condition in children, and its treatment is usually successful. However, nontraumatic nonunion can be resistant to treatment. Although the vascularized fibular bone graft has been frequently used for complex forearm nonunion, there is no consensus on the best treatment method. In this study, we aimed to investigate the outcome of the antegrade posterior interosseous bone flap (PIBF) in treating children with complex radius nonunion. Methods: The participants consisted of 3 girls and 1 boy ranging from 31 months to 9 years of age. They were treated with PIBF surgery, and the nonunion of the radius was fixed with a plate or an external fixator. The nonunion was due to congenital pseudoarthrosis, osteogenesis imperfecta, or infantile osteomyelitis. All patients were evaluated for a clinical and radiologic union. Results: The radiologic union was achieved 2 to 3 months after the surgery in all cases. The functional recovery of the elbow, forearm, and wrist was satisfactory except for 1 patient who experienced donor site fracture, and finally radioulnar synostosis accompanied by radial head dislocation. Conclusion: Because of the simplicity of its technique and short duration of surgery, PIBF can be a reliable and less-demanding alternative to vascularized fibular bone graft in the treatment of complex forearm nonunion in children. Level of Evidence: Level IV.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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Treatment of Recalcitrant Nonunion of the Radius With Posterior Interosseous Bone Flap in Children

Kamrani

Jehanno

Arabzadeh

et al. 2021

Journal of Pediatric Orthopaedics

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“…Previously, Iranian surgeons have announced several novel techniques in the literature in order to replace the Western instruments with domestic instruments or alternative techniques to provide better outcomes in various clinical cases, which have been always challenging for all physicians worldwide, such as humerus fracturs treatment, distal humerus bone graft, radius fractures, femoral fracturs, etc. [8][9][10][11][12][13]. In instance, an Iranian study carried out on patients who suffered complex distal humerus fracture, and authors used K-wires to reconstruct and restabilize the surface of the bone [11,14].…”

Section: Discussionmentioning

confidence: 99%

US sanctions and its consequences on orthopedic surgery on Iran

Nabian

Shakiba

Farhoud

et al. 2020

Preprint

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Background Health and medical services are fundamental demand in civilized nations. Sanctions have always been an obstacle for development, even in health and medical topics, since they aim to reduce the financial and economic power of a country, and their impacts on medical and health systems in the objected country are on inevitable. It is well-established that sanctions contribute to a shortage of supplies in medical devices, and instruments. The shortage of the unique resources of newly-introduced medical and surgical devices prohibits surgeons from implementing novel techniques, which are known to improve medical care service quality. However, considering the application of the sanctions, these products will not be accessible for Iranian patients, and less safe and more complicated approaches will replace them. Results In this study we surveyed opinion of 32 orthopedic surgeons about effect of sanction on orthopedic surgery. Our result showed in upper limb surgeries high cost of equipment have more answers between question, although in lower limb surgeon Changing of method due to lack of facilities with worse results than standard method has more frequency between answer. Both results indicate that sanction made more difficult feasibility of orthopedic surgeon. Conclusions We believe several actions are needed to take place in the current situation by the international organization, to stop this unreasonable and illogical sanction, to prevent devastating results of them.

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“…6,7 Specific applications include head and neck reconstruction for segmental loss of the mandible; upper extremity reconstruction of the hand and thumb; and more frequently, for foot and ankle reconstruction. [8][9][10][11] The purpose of this retrospective case series is to describe harvest technique and assess donor site morbidity in patients after OCRF harvest for foot and ankle reconstruction. The authors aimed to establish that harvest of more than 50% of the cross-sectional area of the radius can be safely performed when coupled with volar locked, prophylactic plating.…”

Section: Introductionmentioning

confidence: 99%

Osteocutaneous Radial Forearm Flap: Harvest Technique and Prophylactic Volar Locked Plating

Capito,

Hansen,

Schmitt

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Background: The osteocutaneous radial forearm (OCRF) flap is a variation of the traditional radial forearm flap with incorporation of an anterolateral segment of corticocancellous bone of the radius, periosteum, and overlying skin. The OCRF flap is indicated in traumatic injuries or extirpation defects with segmental bone loss and is well suited to foot and ankle reconstruction due to its thin pliable skin. Methods: In this single-center case series, a retrospective review was conducted to identify patients who underwent OCRF free flap for foot and ankle reconstruction that required harvest of more than 50% of the cross-sectional area of the radius with prophylactic volar locked plating of the donor site. Outcome measures included flap failure rates, postoperative fracture, thrombotic events, time to follow-up, and time to full weightbearing. Flap harvest technique is extensively discussed. Results: Six cases were included in this series. There were no flap failures or thrombotic events. Recipient site healing was confirmed in all patients, with partial distal skin paddle loss in one patient requiring operative debridement. No patients sustained donor site complications or functional impairment. Full lower extremity weightbearing was achieved at 12.4 ± 3.3 weeks after surgery. Conclusions: The OCRF free flap transfer provides a reliable means of obtaining thin, supple soft tissue coverage with a large, vascularized segment of bone for reconstruction in the foot and ankle. Here, we describe use of more than 50% of the cross-sectional area of the radius with volar locked prophylactic plating. These updates expand use of this reconstructive technique.

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Forearm as a valuable source of vascularized bone graft for the distal humerus

Cited by 8 publications

References 20 publications

Treatment of Recalcitrant Nonunion of the Radius With Posterior Interosseous Bone Flap in Children

Treatment of Recalcitrant Nonunion of the Radius With Posterior Interosseous Bone Flap in Children

US sanctions and its consequences on orthopedic surgery on Iran

Osteocutaneous Radial Forearm Flap: Harvest Technique and Prophylactic Volar Locked Plating

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