Fibulo-scapho-lunate arthrodesis as a motion-preserving procedure after tumour resection of the distal radius.
Free microvascular fibula transfer is an established method for reconstruction of the distal radius following tumour resection. If the radial articular surface is resected, fixation of the fibula to the carpus is either performed as a complete wrist fusion, or the fibular head is transferred together with the shaft to replace the radial joint surface, thus allowing some wrist mobility but providing only limited wrist stability. Fibulo-scapho-lunate fusion represents an alternative. This reconstruction in two patients provided excellent wrist stability and a functional range of midcarpal motion.
Bickert
B
B
Department of Hand, Plastic and Reconstructive Surgery, BG-Trauma Center Ludwigshafen, Germany. berthold.bickert@urz.uni-heidelberg.de
Heitmann
Ch
Ch
Germann
G
G
D000293:Adolescent; D001174:Arthrodesis; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D016025:Bone Transplantation; D005360:Fibula / Q000637:transplantation*; D018212:Giant Cell Tumor of Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D011884:Radius / Q000000981:diagnostic imaging; D012512:Sarcoma, Ewing / Q000000981:diagnostic imaging / Q000601:surgery*