Free Functional Muscle Transfer and One Bone Forearm for Upper-Extremity Limb Salvage After High-Energy Ballistic
Mikalyn T DeFoor1, Christopher J Micallef2, Dustin O Lybeck1
1Department of Orthopaedic Surgery, San Antonio Military Medical Center, San Antonio, TX.
Journal of Hand Surgery Global Online
|October 4, 2023
Summary
This case study details successful upper-extremity limb salvage after high-energy trauma. A multidisciplinary approach restored vascularity, bone integrity, and function, preserving the limb.
Area of Science:
- Orthopedic Surgery
- Trauma Surgery
- Vascular Surgery
Background:
- High-energy trauma to the upper extremity presents complex challenges including extensive soft tissue damage, large bone defects, and neurovascular compromise.
- Effective limb salvage necessitates a multidisciplinary approach focusing on revascularization, bone stabilization, and soft tissue coverage.


