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Hollenbeck ST et al. – Large osseous defects of the upper extremity can be a challenging problem for the reconstructive surgeon. There are numerous treatment options reported in the literature with variable results. The authors review their experience with the vascularized–fibular osteocutaneous graft for these complex defects with a focus on surgical techniques and outcomes.

Exclusive Author Commentary
Scott T. Hollenbeck, 09/18/09

In our experience, large osseous defects (> 6cm) of the upper extremity are best treated with the vascularized-fibular osteocutaneous graft. This techniques offers the benifits of vascularized bone AND soft tissue which enhances the envelope of osteosynthesis.

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