Abstract
Objective To inverse the feasibility and evaluate the clinical results of free fibular flap transfer combined with intramedullary locked nail fixation to repair complex defects of the forearm. Methods Five eases with forearm bone (ulna and/or radius) and soft tissue defects were treated. Ipsilateral or contralateral free fibular flap was transferred to the recipient site, and Smith-Nephew intramedullary locked nails were used to fix the free fibular graft. The donor sites were covered with shin grafts. Results All the 5 free fibular flaps survived after the operation. Based on Anderson evaluation criteria, the results were graded as excellent in I case, good in 3 cases and fair in 1 case. The average union time was 14.6 weeks, ranging from 12 to 17 weeks.There was no nonunion or infection. Conclusion Free fibular flap transfer combined with intramednllary locked nail fixation is a practical method to treat complex defects of the forearm. Key words: Surgical flaps; Forearm injuries; Fracture fixation,internal
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