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Journal of Hand Surgery (British and European Volume)
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Articles

Fibulo-Scapho-Lunate Arthrodesis as a Motion-Preserving Procedure after Tumour Resection of the Distal Radius

B. BICKERT
CH. HEITMANN
G. GERMANN

From the Department of Hand, Plastic and Reconstructive Surgery, BG-Trauma Center Ludwigshafen, Germany and the Department of Plastic and Hand Surgery at the University of Heidelberg, Germany

Correspondence: Berthold Bickert, MD, Department of Hand, Plastic and Reconstructive Surgery, BG-Trauma Center Ludwigshafen, and Department of Plastic and Hand Surgery at the University of Heidelberg, Ludwig-Guttmann-Str. 13, D-67071 Ludwigshafen, Germany. Tel.: +49-621-6810-0; Fax. +49-621-6810-211; E-mail: berthold.bickert{at}urz.uni-heidelberg.de

Free microvascular fibula transfer is an established method for reconstruction of the distal radius following tumour resection. If the radial articular surface is resected, fixation of the fibula to the carpus is either performed as a complete wrist fusion, or the fibular head is transferred together with the shaft to replace the radial joint surface, thus allowing some wrist mobility but providing only limited wrist stability. Fibulo-scapho-lunate fusion represents an alternative. This reconstruction in two patients provided excellent wrist stability and a functional range of midcarpal motion.

Journal of Hand Surgery (British and European Volume), Vol. 27, No. 6, 573-576 (2002)
DOI: 10.1054/jhsb.2002.0829
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