ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2021
Management of segmental bone defects of the upper limb: a scoping review with data synthesis to inform decision making.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 17 citations in OpenAlex.
- Management of post-infection forearm defect non-unions following the "Road-to-Union" protocol: technical note and case series.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Biodegradable PHBVHHx-PEG/Collagen Hydrogel Scaffolds for Cartilage Repair.Tissue engineering. Part A · 2025Article
- Bone transport combined with internal fixation in post-traumatic distal humerus defects and nonunions: retrospective analysis of 16 patients.Journal of orthopaedic surgery and research · 2025Article
- Comparison of free vascularized fibular grafts and the Masquelet technique for the treatment of segmental bone defects with open forearm fractures: a retrospective cohort study.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2024Article
- A Treatment Algorithm for Free Vascularized Bone Reconstruction in Rare Large Osseous Defects Involving the Wrist.Life (Basel, Switzerland) · 2024Article
- Case report: Plate-assisted bone transport with uniplanar external fixator in large bone defects of the humerus.International journal of surgery case reports · 2024Article
- Orthopaedic education: a COVID-driven evolution.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeInjuries to the long bones of the upper limb resulting in bone defects are rare but potentially devastating. Literature on the management of these injuries is limited to case reports and small case series. The aim of this study was to collate the most recent published work on the management of upper limb bone defects to assist with evidence based management when confronted with these cases.
methodsFollowing a preliminary search that confirmed the paucity of literature and lack of comparative trials, a scoping review using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR) was conducted. A literature search of major electronic databases was conducted to identify journal articles relating to the management of upper limb long bone defects published between 2010 and 2020.
resultsA total of 46 publications reporting on the management of 341 patients were reviewed. Structural autograft, bone transport, one-bone forearm and the induced membrane technique were employed in an almost equal number of cases. The implemented strategies showed similar outcomes but different indications and complication profiles were observed.
conclusionContemporary techniques for the management of post-traumatic upper limb bone defects all produce good results. Specific advantages, disadvantages and complications for each modality should be considered when deciding on which management strategy to employ for each specific patient, anatomical location, and defect size.
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