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Bones of the Upper Limb: Radius01:09

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The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
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Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
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Distal Radius Bone Graft From the Second Extensor Compartment: A Safe and Effective Technique.

Oleksandra Vyrva1, Sunil M Thirkannad

  • 1Christine M. Kleinert Institute for Hand and Microsurgery, Louisville, KY.

Techniques in Hand & Upper Extremity Surgery
|August 31, 2016
PubMed
Summary

This study presents a safe and effective technique for harvesting cancellous bone graft from the second extensor compartment during hand surgery. The method simplifies the procedure, providing ample bone graft for most hand surgical needs.

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Bone Grafting Techniques

Background:

  • Cancellous bone graft is essential for hand reconstruction.
  • Existing harvesting methods can be complex and require separate procedures.
  • A simplified, integrated approach is needed to improve efficiency and patient outcomes.

Purpose of the Study:

  • To describe an easy and effective technique for harvesting cancellous bone graft.
  • To evaluate the safety and efficacy of this novel harvesting method.
  • To assess the quality and quantity of bone graft obtained.

Main Methods:

  • Harvesting cancellous bone graft from the floor of the second extensor compartment.
  • Performing the graft harvest within the same operative field as the primary hand surgery.
  • Utilizing the same regional anesthesia and tourniquet for both procedures.

Main Results:

  • The technique is easy to perform and highly effective.
  • It allows for wide visualization during bone graft harvesting.
  • Sufficient quality and quantity of cancellous bone graft were obtained for most hand surgical cases.
  • The method has been safely used in 80 patients.

Conclusions:

  • This technique offers a safe, efficient, and effective method for obtaining cancellous bone graft.
  • It streamlines the surgical process by integrating graft harvesting into the primary procedure.
  • The approach provides adequate bone graft for a majority of hand surgical applications.