Tackling bone loss of the lower extremity: vascularized bone grafting

Christine V. Schaeffer , John T. Stranix

Plastic and Aesthetic Research ›› 2022, Vol. 9 ›› Issue (1) : 27

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Plastic and Aesthetic Research ›› 2022, Vol. 9 ›› Issue (1) :27 DOI: 10.20517/2347-9264.2021.122
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Tackling bone loss of the lower extremity: vascularized bone grafting

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Abstract

Post-traumatic lower extremity bone loss in the setting of high-energy trauma can occur acutely as a result of an open fracture and surgical debridement, or secondarily as a result of nonunion or infection. Several techniques have been described in the literature for the management of these bony defects, including non-vascularized bone grafts, vascularized bone grafts and distraction osteogenesis. Herein, the authors review the role of vascularized bone grafts in the management of post-traumatic bone loss in the lower extremity.

Keywords

Lower extremity / vascularized bone / segmental defect

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Christine V. Schaeffer, John T. Stranix. Tackling bone loss of the lower extremity: vascularized bone grafting. Plastic and Aesthetic Research, 2022, 9(1): 27 DOI:10.20517/2347-9264.2021.122

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References

[1]

Caudle RJ.Severe open fractures of the tibia.J Bone Joint Surg Am1987;69:801-7

[2]

DeLong WG,Wei SY,Ponzio R.Aggressive treatment of 119 open fracture wounds.J Trauma1999;46:1049-54

[3]

Battiston B,Baido RL.Treatment of acute bone defects in severe lower limb Trauma.Injury2019;50 Suppl 5:S40-5

[4]

Taylor GI,Ham FJ.The free vascularized bone graft. A clinical extension of microvascular techniques.Plast Reconstr Surg1975;55:533-44

[5]

Buncke HJ,Gordon L.Free osteocutaneous flap from a rib to the tibia.Plast Reconstr Surg1977;59:799-804

[6]

Taylor GI.One-stage repair of compound leg defects with free, revascularized flaps of groin skin and iliac bone.Plast Reconstr Surg1978;61:494-506

[7]

Doi K.Vascularized periosteal bone graft from the supracondylar region of the femur.Microsurgery1994;15:305-15

[8]

Sparks DS,Taylor GI.Bone reconstruction: a history of vascularized bone transfer.Microsurgery2018;38:7-13

[9]

Doi K.Vascularized bone graft from the supracondylar region of the femur.Microsurgery2009;29:379-84

[10]

Gustilo RB.Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses.J Bone Joint Surg Am1976;58:453-8

[11]

Winquist RA,Clawson DK.Closed intramedullary nailing of femoral fractures. A report of five hundred and twenty cases.J Bone Joint Surg Am1984;66:529-39

[12]

Houben RH,van den Heuvel SCM.Combined massive allograft and intramedullary vascularized fibula as the primary reconstruction method for segmental bone loss in the lower extremity: a systematic review and meta-analysis.JBJS Rev2019;7:e2

[13]

Pelissier P,Martin D.Bone reconstruction of the lower extremity: complications and outcomes.Plast Reconstr Surg2003;111:2223-9

[14]

Lin CH,Chen HC.Outcome comparison in traumatic lower-extremity reconstruction by using various composite vascularized bone transplantation.Plast Reconstr Surg1999;104:984-92

[15]

Goldberg VM,Field G.Biology of vascularized bone grafts.Orthop Clin North Am1987;18:197-205

[16]

Cutting CB.Comparison of residual osseous mass between vascularized and nonvascularized onlay bone transfers.Plast Reconstr Surg1983;72:672-5

[17]

Shi LL,Jawa A.Bony hypertrophy in vascularized fibular grafts.Hand (N Y)2022;17:106-13 PMCID:PMC8721809

[18]

Malizos KN,Soucacos PN,Urbaniak JR.Free vascularized fibular grafts for reconstruction of skeletal defects.J Am Acad Orthop Surg2004;12:360-9

[19]

Hierner R.Comparison of vascularised iliac crest and vascularised fibula transfer for reconstruction of segmental and partial bone defects in long bones of the lower extremity.Microsurgery1995;16:818-26

[20]

Nusbickel FR,McAndrew MP.Vascularized autografts for reconstruction of skeletal defects following lower extremity trauma. A review.Clin Orthop Relat Res1989;243:65-70

[21]

Bishop A. Vascularized bone grafting. In: Green DP, Hotchkiss RN, Pederson WC WS, editors. Green’s operative hand surgery. New York: Churchilll Livingstone; 2005. p. 1777-811.

[22]

Haddock NT,Easley ME,Wapner KL.Applications of the medial femoral condyle free flap for foot and ankle reconstruction.Foot Ankle Int2013;34:1395-402

[23]

Iorio ML,Higgins JP.Cutaneous angiosome territory of the medial femoral condyle osteocutaneous flap.J Hand Surg Am2012;37:1033-41

[24]

Rysz M,Mazurek MJ,Grzelecki D.Vasculature of a medial femoral condyle free flap in intact and osteotomized flaps.Plast Reconstr Surg2017;139:992-7

[25]

Stranix JT,Azoury SC.Medial femoral condyle free flap reconstruction of complex foot and ankle pathology.Foot Ankle Orthop2019;4:2473011419884269 PMCID:PMC8697073

[26]

Beris AE,Korompilias AV.Vascularized fibula transfer for lower limb reconstruction.Microsurgery2011;31:205-11

[27]

Cierny G.Primary versus delayed soft tissue coverage for severe open tibial fractures. A comparison of results.Clin Orthop Relat Res1983;:54-63

[28]

Lin CH,Levin LS.Free composite serratus anterior and rib flaps for tibial composite bone and soft-tissue defect.Plast Reconstr Surg1977;99:1656-65

[29]

Doi K,Hiura Y,Sakai K.One-stage treatment of infected bone defects of the tibia with skin loss by free vascularized osteocutaneous grafts.Microsurgery1995;16:704-12

[30]

Yaremchuk MJ,Manson PN,Poka A.Acute and definitive management of traumatic osteocutaneous defects of the lower extremity.Plast Reconstr Surg1987;80:1-14

[31]

Malizos KN,Goldner RD,Harrelson JM.Free vascularized fibula in traumatic long bone defects and in limb salvaging following tumor resection: comparative study.Microsurgery1993;14:368-74

[32]

de Gauzy J, Fitoussi F, Jouve JL, Karger C, Badina A, Masquelet AC; French Society of Orthopaedic Surgery and Traumatology (SoFCOT). Traumatic diaphyseal bone defects in children.Orthop Traumatol Surg Res2012;98:220-6

[33]

El-Gammal TA,Kotb MM.Reconstruction of lower limb bone defects after sarcoma resection in children and adolescents using free vascularized fibular transfer.J Pediatr Orthop B2003;12:233-43

[34]

Cashin M,Torode I.A-frame free vascularized fibular graft and femoral lengthening for osteosarcoma pediatric patients.J Pediatr Orthop2018;38:e83-90

[35]

Gorski SM,Krieg AH.Vascularized bone graft reconstruction following bone tumor resection at a multidisciplinary sarcoma center: outcome analysis.Anticancer Res2021;41:5015-23

[36]

Houdek MT,Milbrandt TA,Moran SL.Comparison of pediatric intercalary allograft reconstructions with and without a free vascularized fibula.Plast Reconstr Surg2018;142:1065-71

[37]

Ruiz-Moya A,Sicilia-Castro D.Pediatric extremity bone sarcoma reconstruction with the vascularized fibula flap: observational study assessing long-term functional outcomes, complications, and survival.J Plast Reconstr Aesthet Surg2019;72:1887-99

[38]

Ghoneimy AME,Kamal N.Use of vascularized fibular free flap in the reconstruction of the femur in pediatric and adolescent bone sarcomas: complications and functional outcome.J Reconstr Microsurg2019;35:156-62

[39]

Yazar S,Wei FC.One-stage reconstruction of composite bone and soft-tissue defects in traumatic lower extremities.Plast Reconstr Surg2004;114:1457-66

[40]

Han CS,Bishop AT.Vascularized bone transfer.J Bone Joint Surg Am1992;74:1441-9

[41]

Levin LS.Lower extremity reconstruction.Semin Plast Surg2003;17:69-82

[42]

Levin LS.Vascularized fibula graft for the traumatically induced long-bone defect.J Am Acad Orthop Surg2006;14:S175-6

[43]

Minami A,Iwasaki N,Kaneda K.Vascularised fibular grafts. An experience of 102 patients.J Bone Joint Surg Br2000;82:1022-5

[44]

Kazmers NH,Steinberger Z.Upper and lower extremity reconstructive applications utilizing free flaps from the medial genicular arterial system: a systematic review.Microsurgery2018;38:328-43

[45]

Ael-S, Badawy E, Hasan M, El-Nakeeb RM. Management of post-traumatic bone defects of the tibia using vascularised fibular graft combined with Ilizarov external fixator.Injury2016;47:969-75

[46]

Ling XF.What is the price to pay for a free fibula flap?.Plast Reconstr Surg2012;129:657-74

[47]

Gu Y,Shujaat S.Donor- and recipient-site morbidity of vascularized fibular and iliac flaps for mandibular reconstruction: a systematic review and meta-analysis.J Plast Reconstr Aesthet Surg2021;74:1470-9

[48]

Yilmaz M,Menderes A,Kizilkaya A.A comparison of vascularized fibular flap and iliac crest flap for mandibular reconstruction.J Craniofac Surg2008;19:227-34

[49]

Ling XF,Samman N.Donor-site morbidity of free fibula and DCIA flaps.J Oral Maxillofac Surg2013;71:1604-12

[50]

Giladi AM,Higgins JP.Donor-site morbidity of vascularized bone flaps from the distal femur: a systematic review.Plast Reconstr Surg2018;142:363e-72e

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