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

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.

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


Exposure and preparation of the shoulder.



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



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



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...



Double plate fixation of a properly positioned shoulder.



The double plate construct.



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



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

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