Vascular pedicled fibular graft in the treatment of massive defect of tibia. Report of two cases.
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Vascular pedicled fibular graft was performed in the treatment of the tibial defect. This procedure is indicated for massive bone defect in mid-shaft of tibia or lower part of femur.Case 1 2-year-old FemaleHer left tibia was absorbed in midpart after osteomyelitis. The defect of it was about 7cm long. Fibular graft with vascular pedicle was transfered in the center of tibial axis and fixed with K-wire intramedullaly entered from calcaneal region. 2 weeks after surgery, callus formation was seen near the both ends of graft. Solid union was gained 4 months after surgery, at this time plaster cast was removed. The grafted bone rapidly became large as same size as tibia after weitght bearing was allowed. One year after she can walk without brace.Case 2 43-year-old Male20 years before, he sustained open fracture on his left leg. Pseudarthrosis was seen in his left tibia with small defect. The fibula become large compesating weak tibia. The fibula with vascular pedicle transfered to posterolateral side of tibia and fixed with 5 screws.Solid union was gained in the upper end of graft, but union was delayed in lower end. So free iliac bone graft was performed.
- 西日本整形・災害外科学会の論文
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