Free Vascularized Fibular Flap with Bilateral Bipolar Latissimus Transfer for Upper Extremity Reconstruction: A Case Report

A 19-year-old woman presented with bilateral mangled upper extremities after jumping in front of a moving train. After revascularization, osteocutaneous free vascularized fibula flap was performed to reconstruct the right humerus. The left forearm required transradial amputation with acute targeted...

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Bibliographic Details
Published in:	JBJS case connector Vol. 12; no. 4
Main Authors:	Dabestani, Parinaz J., Ramsey, Matthew D., Chappell, Ava G., Fracol, Megan E., Stover, Michael D., Ko, Jason H.
Format:	Journal Article
Language:	English
Published:	United States Journal of Bone and Joint Surgery, Inc 01-10-2022
Subjects:	Adult Elbow Female Free Tissue Flaps Humans Plastic Surgery Procedures Quality of Life Upper Extremity Young Adult
Online Access:	Get full text
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Summary:	A 19-year-old woman presented with bilateral mangled upper extremities after jumping in front of a moving train. After revascularization, osteocutaneous free vascularized fibula flap was performed to reconstruct the right humerus. The left forearm required transradial amputation with acute targeted muscle reinnervation. Finally, staged bilateral bipolar latissimus dorsi functional muscle flaps were performed to restore elbow flexion. Staged orthoplastic reconstruction of the upper extremities is an effective treatment approach for traumatic bone and soft-tissue defects. This patient's recovery demonstrates improved quality of life after severe upper extremity trauma.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	2160-3251 2160-3251
DOI:	10.2106/JBJS.CC.22.00286