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Updated: Jun 6, 2026

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
Published on: May 23, 2025
[Use of the vascularized upper tibial crest at the wrist and hand]
N Kerfant1, A Gilbert, M-R Sanguina
1Clinique Jouvenet, institut de la main, 6 square Jouvenet, Paris, France. nathalie.kerfant@gmail.com
Abstract:
The choice of a technique for reconstruction of bone loss to the lower end of the forearm is often difficult, especially in cases of nonunion. Vascularized bone is essential in these indications. We present cases of post-traumatic hand and wrist reconstruction with upper tibial corticocancellous transfer. It is a reliable reconstructive procedure for forearm bone loss to cover limited size bone defects, leaving no complication to the donor site.
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