Abstract

Five cases of free vascularized bone graft applied to upper limb reconstruction were studied. Three cases of pseudarthrosis of the humerus and a case of pyogenic arthritis of the elbow were treated with free vascularized fibula grafts. A case of giant cell tumor of the distal end of the radius was treated by wide resection and a free vascularized fibula head graft. Their results were satisfactory, and the bone unions were achieved within 3.5 months postoperatively in most of them. However, bone defects and recipient bone in the upper limb are often too small to use free vascularized fibula or iliac bone graft. In such a case, free vascularized metatarsal bone graft or free vascularized periosteal graft may be useful.

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