SUMMARY Posttraumatic upper or lower limb salvage is still challenging. Under difficult situations in which only one vessel supplies the hand or foot, free microvascular reconstruction might damage not only the transferred tissue but also the terminal hand or foot. Two cases of incomplete amputation of the unilateral forearm with large radius bone and soft tissue loss were reconstructed using a...

BACKGROUND: The use of the microvascular flap in reconstructive surgery complicated nonunions diaphysis humerus is highly valuable. Flaps with compromised blood supply are possible up to 10% cases and often lead failure vascularized reconstruction. combined skin + bone graft a simple, useful, reliable option for vitality control high success rate.
 OBJECTIVE: To compare grafting versus wit...

BACKGROUND The submental artery island flap is a reliable reconstructive option for lower face defects. Advantages of this flap include suppleness of tissue, excellent color and texture match to facial skin, a wide arc of rotation, prominent blood supply, and a well-hidden donor site scar. METHODS This article describes a 61-year-old man with eccrine carcinoma of the chin necessitating extens...

Segmental bone allografts are widely used in managing large cortical defects. To improve host-graft union, the effect of allograft on a tibial defect augmented with non-vascularized periosteal flap was studied. Twelve mature Australian white rabbits (Oryctolagus cuniculus) were divided into intervention groups and control group. Bone defects treated segmental wrapped flap. The group transplanta...

Free vascularized bone transfer is a viable treatment option for extensive bony defects greater than 6 to 8 cm involving scarred, poorly vascularized, or infected recipient beds, such as in chronically infected nonunion of the radius and ulna treated with a double-barrel free fibula flap. Both patients reported here experienced bony union with significant resolution of their symptoms. Although ...

Gustillo IIIB tibiofibular fractures often result in long bone loss and extensive soft tissue defects. Reconstruction of these complex wounds is very challenging, especially when it includes grafts, because the donor site limited. We describe our experience using a set chimeric ipsilateral vascularized fibula grafts with thoracodorsal artery perforator free flap to reconstruct traumatic tibia A...

Free vascularized fibular flap is considered the treatment of choice in mandibular reconstruction for extensive bone defects (over 6 centimeters) resulting from trauma, infections or tumor resections. But, when the reconstruction involves a dentate mandible, the fibula has the limit as it does not offer sufficient bone height to restore the alveolar arch up to the occlusal plane. Therefore, the...