The Use of a Vascularized Distal Ulna Autograft for Complex Distal Radius Fracture Nonunions.
Complex distal radius fracture
distal radius nonunion
distal ulna vascularized autograft
Journal
The Journal of hand surgery
ISSN: 1531-6564
Titre abrégé: J Hand Surg Am
Pays: United States
ID NLM: 7609631
Informations de publication
Date de publication:
Feb 2020
Feb 2020
Historique:
received:
08
01
2019
revised:
25
08
2019
accepted:
09
10
2019
entrez:
4
2
2020
pubmed:
6
2
2020
medline:
29
6
2021
Statut:
ppublish
Résumé
In patients with segmental nonunion of the distal radius, the distal ulna and distal radioulnar joint may not be salvageable. As an alternative to a vascularized free fibula, a pedicled distal ulna vascularized graft is a useful salvage technique. The procedure relies on the vascular bundle of the pronator quadratus and the dorsal oblique arterial anastomosis between the anterior and posterior interosseous arteries running along the interosseous membrane as the pedicle. We present 3 patients who received a distal ulna vascularized graft with concomitant wrist arthrodesis for distal radius segmental nonunion after complex distal radius fracture. This technique provides a local pedicled graft that may be a simpler, more reliable, and less technically demanding alternative.
Identifiants
pubmed: 32008693
pii: S0363-5023(19)31425-X
doi: 10.1016/j.jhsa.2019.10.013
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
163.e1-163.e4Informations de copyright
Copyright © 2020 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.