Reconstruction of Composite Defect of Hand with Two Segmented Osteocutaneous Fibular Free Flap

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Journal of the Korean Society for Surgery of the Hand 2000;9(1):44-48.
Published online May 31, 2000.

Kwan-Chul Tark, M.D., Ph.D., Sang-Yoon Kang, M.D.*, Yun-Gyu Park, M.D., Hoon-Bum Lee, M.D., Ph.D., Beyoung-yun Park, M.D., Ph.D.**

생비골 유리 피판술을 이용한 수부의 복합조직 결손의 재건

탁관철·강상윤*·박윤규·이훈범·박병윤* *

Abstract

  The advent of free bone flaps has made successful replacement of extensive areas of bone loss in the upper and lower extremities. The microvascular free bone flaps have faster healing without bony absorption or atrophy and can heal in the hostile environment of scarred bed or infection. Since the fibula free flap introduced by Taylor and colleague in 1975, it has been used extensively for skeletal reconstruction of extremities. In 1988, the folded vascularized fibula free flap was first described as a technique to reconstruct significant long bone defect of upper and lower extremities. During the same time, the fibular free flap has evolved to become most preferred choice of mandibular reconstruction. Up to present day, few reports have been made on the fibular free flap used for reconstruction of injured hand containing metacarpal bone and soft tissue defect. We present here our new and unique experiences with vascularized fibular osteocutaneous free flap as useful and satisfactory one for reconstruction of hand with composite defects.

Key Words: Fibular free flap, Hand, Reconstruction

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