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Bone Grafts and Flaps in the Management of Complex Upper-Extremity Defects: Indications and Outcomes
1Hand, Wrist and Microvascular Surgery, Private Practice, Serrano 58-1B, Madrid E-28001, Spain.
Abstract:
Reconstruction of bony defects is challenging. Most cases can be solved by means of nonvascularized bone grafts, either corticocancellous or cancellous. However, when the defect is long, there is a combined soft tissue defect, infection, a poor scarred bed, and when a piece of cartilage needs to be included, a vascularized bone graft is preferred. This article features a review of the most useful flaps for small and long defects in the hand and upper limb.
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