Mark Clayer1. 1. Department of Orthopaedics and Trauma, Royal Adelaide Hospital, South Australia, Australia.
Abstract
CASE: A complex case is described involving limb salvage using a combination of the clavicula pro humero technique with a free vascularized fibular graft to span the defect following a failed megaprosthetic reconstruction. This is believed to be the first description of this approach for a very difficult problem. CONCLUSION: In the setting of infection and minimal bone stock, conventional reconstruction options for the proximal aspect of the humerus were unsatisfactory. This new technique provides a biologic, immunocompetent option for limb salvage.
CASE: A complex case is described involving limb salvage using a combination of the clavicula pro humero technique with a free vascularized fibular graft to span the defect following a failed megaprosthetic reconstruction. This is believed to be the first description of this approach for a very difficult problem. CONCLUSION: In the setting of infection and minimal bone stock, conventional reconstruction options for the proximal aspect of the humerus were unsatisfactory. This new technique provides a biologic, immunocompetent option for limb salvage.