Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Vascularized Bone Graft Reconstruction for Upper Extremity Defects: A Review

  • Ava G. Chappell (Division of Plastic and Reconstructive Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine) ;
  • Matthew D. Ramsey (Division of Plastic and Reconstructive Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine) ;
  • Parinaz J. Dabestani (Division of Plastic and Reconstructive Surgery, Department of Surgery, Loyola University Medical Center) ;
  • Jason H. Ko (Division of Plastic and Reconstructive Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine)
  • Received : 2021.09.19
  • Accepted : 2022.08.04
  • Published : 2023.01.15
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Abstract

Upper extremity reconstruction may pose clinical challenges for surgeons due to the often-critical, complex functional demands of the damaged and/or missing structures. The advent of vascularized bone grafts (VBGs) has aided in reconstruction of upper extremity (UE) defects due to their superior regenerative properties compared with nonvascularized bone grafts, ability to reconstruct large bony defects, and multiple donor site options. VBGs may be pedicled or free transfers and have the potential for composite tissue transfers when bone and soft tissue are needed. This article provides a comprehensive up-to-date review of VBGs, the commonly reported donor sites, and their indications for the treatment of specific UE defects.

Keywords

References

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