title: Free vascularised fibular graft in multi-operated patients for an aseptic non-union of the humerus with segmental defect: Surgical technique and results.
abstract: In cases of non-union of the humerus with segmental bone defect, if a conventional treatment has failed, free fibular transfer should be considered as a reliable option to allow satisfactory bone union. We reported five cases of aseptic and multi-operated non-union of the humerus from trauma. In each case, a free fibular flap was performed after failure of a conventional treatment and bony union was demonstrable radiologically within six months. Some technical points such as harvesting of the fibula, humerus approach, fibula placement and fixation are highlighted in order to simplify the transfer and to standardise the technique.
authors.affiliation: Jouvenet Private Hospital, Hand Surgery Institute, 6, square Jouvenet, 75016 Paris, France.
authors.forename: N
authors.initials: N
authors.lastname: Kerfant
authors.forename: P
authors.initials: P
authors.lastname: Valenti
authors.forename: A S
authors.initials: AS
authors.lastname: Kilinc
authors.forename: M O
authors.initials: MO
authors.lastname: Falcone
mesh_terms: D000368:Aged; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D005360:Fibula / Q000637:transplantation*; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D058752:Free Tissue Flaps / Q000098:blood supply*; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D011859:Radiography; D012189:Retrospective Studies; D016896:Treatment Outcome