Akademik Veri Yönetim Sistemi
Upper Extremity Bone Reconstruction: Vascularized Techniques, Springer Nature, ss.37-45, 2025
This chapter discusses the use of vascularized bone grafts for oncologic reconstruction of the upper extremity. Vascularized bone grafts provide increased initial graft strength and resistance to radiation therapy, and are particularly beneficial for large bone defects and epiphyseal loss. The fibula flap is often used, as it meets all the requirements for an ideal bone graft, including geometry, tissue size and viability, biological and biomechanical properties, and known benefits and complications. Other techniques such as endoprosthetic reconstruction, glenohumeral arthrodesis, and elbow arthrodesis may also be used, depending on the patient’s age and functional expectancy. Vascularized bone grafts should be used with caution in patients who have received neoadjuvant or adjuvant chemotherapy, as it increases complications of bone healing and stability. A collaborative approach between the resection and reconstruction teams is essential to ensure successful outcomes.