reconstruction of proximal humeral defects with shoulder arthrodesis using free vascularized fibular...

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Reconstruction of Proximal Humeral Defects with Shoulder Arthrodesis Using Free Vascularized Fibular Graft by Mehmet Armangil, and S. Sinan Bilgin JBJS Essent Surg Tech Volume 3(2):e8 April 10, 2013 ©2013 by The Journal of Bone and Joint Surgery, Inc.

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Page 1: Reconstruction of Proximal Humeral Defects with Shoulder Arthrodesis Using Free Vascularized Fibular Graft by Mehmet Armangil, and S. Sinan Bilgin JBJS

Reconstruction of Proximal Humeral Defects with Shoulder Arthrodesis Using Free Vascularized Fibular Graft

by Mehmet Armangil, and S. Sinan Bilgin

JBJS Essent Surg TechVolume 3(2):e8April 10, 2013

©2013 by The Journal of Bone and Joint Surgery, Inc.

Page 2: Reconstruction of Proximal Humeral Defects with Shoulder Arthrodesis Using Free Vascularized Fibular Graft by Mehmet Armangil, and S. Sinan Bilgin JBJS

Mehmet Armangil, and S. Sinan Bilgin JBJS Essent Surg Tech 2013;3:e8

©2013 by The Journal of Bone and Joint Surgery, Inc.

Page 3: Reconstruction of Proximal Humeral Defects with Shoulder Arthrodesis Using Free Vascularized Fibular Graft by Mehmet Armangil, and S. Sinan Bilgin JBJS

Mehmet Armangil, and S. Sinan Bilgin JBJS Essent Surg Tech 2013;3:e8

©2013 by The Journal of Bone and Joint Surgery, Inc.

Page 4: Reconstruction of Proximal Humeral Defects with Shoulder Arthrodesis Using Free Vascularized Fibular Graft by Mehmet Armangil, and S. Sinan Bilgin JBJS

Mehmet Armangil, and S. Sinan Bilgin JBJS Essent Surg Tech 2013;3:e8

©2013 by The Journal of Bone and Joint Surgery, Inc.

Page 5: Reconstruction of Proximal Humeral Defects with Shoulder Arthrodesis Using Free Vascularized Fibular Graft by Mehmet Armangil, and S. Sinan Bilgin JBJS

Mehmet Armangil, and S. Sinan Bilgin JBJS Essent Surg Tech 2013;3:e8

©2013 by The Journal of Bone and Joint Surgery, Inc.

Page 6: Reconstruction of Proximal Humeral Defects with Shoulder Arthrodesis Using Free Vascularized Fibular Graft by Mehmet Armangil, and S. Sinan Bilgin JBJS

Mehmet Armangil, and S. Sinan Bilgin JBJS Essent Surg Tech 2013;3:e8

©2013 by The Journal of Bone and Joint Surgery, Inc.

Page 7: Reconstruction of Proximal Humeral Defects with Shoulder Arthrodesis Using Free Vascularized Fibular Graft by Mehmet Armangil, and S. Sinan Bilgin JBJS

Mehmet Armangil, and S. Sinan Bilgin JBJS Essent Surg Tech 2013;3:e8

©2013 by The Journal of Bone and Joint Surgery, Inc.

Page 8: Reconstruction of Proximal Humeral Defects with Shoulder Arthrodesis Using Free Vascularized Fibular Graft by Mehmet Armangil, and S. Sinan Bilgin JBJS

Mehmet Armangil, and S. Sinan Bilgin JBJS Essent Surg Tech 2013;3:e8

©2013 by The Journal of Bone and Joint Surgery, Inc.

Page 9: Reconstruction of Proximal Humeral Defects with Shoulder Arthrodesis Using Free Vascularized Fibular Graft by Mehmet Armangil, and S. Sinan Bilgin JBJS

Exposure and preparation of the shoulder.

Mehmet Armangil, and S. Sinan Bilgin JBJS Essent Surg Tech 2013;3:e8

©2013 by The Journal of Bone and Joint Surgery, Inc.

Page 10: Reconstruction of Proximal Humeral Defects with Shoulder Arthrodesis Using Free Vascularized Fibular Graft by Mehmet Armangil, and S. Sinan Bilgin JBJS

Preparation of the humerus and recipient vessels in the upper arm.

Mehmet Armangil, and S. Sinan Bilgin JBJS Essent Surg Tech 2013;3:e8

©2013 by The Journal of Bone and Joint Surgery, Inc.

Page 11: Reconstruction of Proximal Humeral Defects with Shoulder Arthrodesis Using Free Vascularized Fibular Graft by Mehmet Armangil, and S. Sinan Bilgin JBJS

Insertion of the fibula into the proximal part of the humerus and completion of the vascular anastomosis.

Mehmet Armangil, and S. Sinan Bilgin JBJS Essent Surg Tech 2013;3:e8

©2013 by The Journal of Bone and Joint Surgery, Inc.

Page 12: Reconstruction of Proximal Humeral Defects with Shoulder Arthrodesis Using Free Vascularized Fibular Graft by Mehmet Armangil, and S. Sinan Bilgin JBJS

After achievement of an interference fit of the fibula into the distal part of the humerus, anastomosis to the brachial artery and veins can be performed either through the anterolateral

approach that was used to prepare the humerus, by retracting the humer...

Mehmet Armangil, and S. Sinan Bilgin JBJS Essent Surg Tech 2013;3:e8

©2013 by The Journal of Bone and Joint Surgery, Inc.

Page 13: Reconstruction of Proximal Humeral Defects with Shoulder Arthrodesis Using Free Vascularized Fibular Graft by Mehmet Armangil, and S. Sinan Bilgin JBJS

Double plate fixation of a properly positioned shoulder.

Mehmet Armangil, and S. Sinan Bilgin JBJS Essent Surg Tech 2013;3:e8

©2013 by The Journal of Bone and Joint Surgery, Inc.

Page 14: Reconstruction of Proximal Humeral Defects with Shoulder Arthrodesis Using Free Vascularized Fibular Graft by Mehmet Armangil, and S. Sinan Bilgin JBJS

The double plate construct.

Mehmet Armangil, and S. Sinan Bilgin JBJS Essent Surg Tech 2013;3:e8

©2013 by The Journal of Bone and Joint Surgery, Inc.

Page 15: Reconstruction of Proximal Humeral Defects with Shoulder Arthrodesis Using Free Vascularized Fibular Graft by Mehmet Armangil, and S. Sinan Bilgin JBJS

Fig. 7-A Humeral bone defect following a gunshot injury.

Mehmet Armangil, and S. Sinan Bilgin JBJS Essent Surg Tech 2013;3:e8

©2013 by The Journal of Bone and Joint Surgery, Inc.

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