日本マイクロサージャリー学会会誌
Online ISSN : 2185-9949
Print ISSN : 0916-4936
症例
橈骨遠位端の骨腫瘍切除・再建術後の変形に対して遊離血管柄付き腓骨頭移植を用いて再建を行った 1 例
稲見 浩平山口 利仁澤泉 雅之
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ジャーナル 認証あり

29 巻 (2016) 3 号 p. 193-198

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We report a case in which a free vascularized fibular head transfer was performed using reverse flow anterior tibial vessels to reconstruct the distal radius.
The patient was a 59-year-old female. She was diagnosed with a giant cell tumor of the right distal radius. Previously, she had undergone tumor resection followed by vascularized fibular transfer.
After the operation, the patient experienced bone resorption and subluxation. Her wrist pain and joint restriction continued, so we completed a free vascularized fibular head transfer.
We used reverse flow anterior tibial vessels so anastomoses were created between the distal portions of the anterior tibial vessels and the proximal portions of radial vessels without vein grafting.
Eleven years after the operation, the patient's total range of wrist joint motion was 100 degrees of flexion-extension, and she was able to clench her hand powerfully.
There have not been any complications, including fractures or collapse of the fibula head graft, in this case.

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© 2016 日本マイクロサージャリー学会
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