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

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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.

Mehmet Armangil, and S. Sinan Bilgin JBJS Essent Surg Tech 2013;3:e8 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Mehmet Armangil, and S. Sinan Bilgin JBJS Essent Surg Tech 2013;3:e8 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Mehmet Armangil, and S. Sinan Bilgin JBJS Essent Surg Tech 2013;3:e8 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Mehmet Armangil, and S. Sinan Bilgin JBJS Essent Surg Tech 2013;3:e8 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Mehmet Armangil, and S. Sinan Bilgin JBJS Essent Surg Tech 2013;3:e8 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Mehmet Armangil, and S. Sinan Bilgin JBJS Essent Surg Tech 2013;3:e8 ©2013 by The Journal of Bone and Joint Surgery, Inc.

Mehmet Armangil, and S. Sinan Bilgin JBJS Essent Surg Tech 2013;3:e8 ©2013 by The Journal of Bone and Joint Surgery, Inc.

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.

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.

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.

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.

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.

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.

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.