Reconstruction of Proximal Humeral Defects with Shoulder Arthrodesis Using Free Vascularized Fibular Graft by S. Sinan Bilgin J Bone Joint Surg Am Volume.

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Reconstruction of Proximal Humeral Defects with Shoulder Arthrodesis Using Free Vascularized Fibular Graft by S. Sinan Bilgin J Bone Joint Surg Am Volume 94(13):e94 July 3, 2012 ©2012 by The Journal of Bone and Joint Surgery, Inc.

Immediately after inserting the fibula in the distal humeral medullary canal and obtaining primary stability at this interface, anastomoses can be performed either by lateral access to the vessels or via a separate incision (arrow) on the medial aspect of t... S. Sinan Bilgin J Bone Joint Surg Am 2012;94:e94 ©2012 by The Journal of Bone and Joint Surgery, Inc.

The exposed bone of the fibula was inserted 1 cm deep in the inferior pole of the glenoid or the glenoid remnant. S. Sinan Bilgin J Bone Joint Surg Am 2012;94:e94 ©2012 by The Journal of Bone and Joint Surgery, Inc.

Fig. 3-AThis patient could manage even demanding activities of daily living very comfortably. S. Sinan Bilgin J Bone Joint Surg Am 2012;94:e94 ©2012 by The Journal of Bone and Joint Surgery, Inc.

Fig. 3-BThis patient could manage even demanding activities of daily living very comfortably. S. Sinan Bilgin J Bone Joint Surg Am 2012;94:e94 ©2012 by The Journal of Bone and Joint Surgery, Inc.

Radiograph demonstrating solid osseous union at both sites. S. Sinan Bilgin J Bone Joint Surg Am 2012;94:e94 ©2012 by The Journal of Bone and Joint Surgery, Inc.

An antibiotic-impregnated bone cement spacer is in place at the beginning of the second step of the reconstruction. S. Sinan Bilgin J Bone Joint Surg Am 2012;94:e94 ©2012 by The Journal of Bone and Joint Surgery, Inc.

Radiograph made at seven years postoperatively. S. Sinan Bilgin J Bone Joint Surg Am 2012;94:e94 ©2012 by The Journal of Bone and Joint Surgery, Inc.