J Reconstr Microsurg 2008; 24(8): 565-568
DOI: 10.1055/s-0028-1090622
© Thieme Medical Publishers

Vascularized Proximal Fibular Autograft for Treatment of Post-traumatic Segmental Bony Defects in the Distal Radius

Takamasa Shimizu1 , Hiroshi Yajima1 , Yasunori Kobata1 , Koji Shigematsu1 , Kenji Kawamura1 , Yoshinori Takakura1
  • 1Department of Orthopaedic Surgery, Nara Medical University, Kashihara, Japan
Further Information

Publication History

Publication Date:
16 October 2008 (online)


Vascularized proximal fibular autograft is reported as one of the reconstructive procedures for the wrists following tumor resection in the distal end of the radius. However, it is rarely performed for the treatment of segmental bony defects in the distal radius after trauma. A 19-year-old man who had traumatic bony defects in the distal radius involving the articular surface underwent vascularized proximal fibular grafting for reconstruction of the wrist. After surgery, he regained wrist functions, with 40 degrees of flexion, 45 degrees of extension, 90 degrees of pronation, and 45 degrees of supination. No evidence of instability or degenerative changes was noted in the reconstructed wrist at 3 years after surgery. Vascularized proximal fibular autograft appears a useful procedure both for reconstruction of the wrist in cases with segmental bony defects in the distal radius after trauma, as well as for after tumor resection.


Takamasa Shimizu, M.D. 

Department of Orthopaedic Surgery, Nara Medical University

840 Shijyo-cho, Kashihara, Nara, 634-8522, Japan

Email: [email protected]