The clinical experience of treat long bone defect with vascularized fibular graft

VernacularTitle:带血管蒂腓骨瓣游离移植修复长段骨缺损的临床经验
Author: Chuhong CHENG ; Baiwen QI ; Zhenyu PAN ; Shengxiang TAO ; Yong ZHAO ; Zonghuan LI ; Aixi YU
Keywords: Vascularized fibular flap; Graft; Reconstruction; Bone defect,long
From: Chinese Journal of Microsurgery 2017;40(4):313-315
CountryChina
Language:Chinese
Abstract: Objective To summarize the clinical experience of treating long bone defect with vascularized fibular graft.Methods From January,2008 to January,2015,31 cases of long bone defect were treated with vascularized fibula composite or not composite tissue flap graft.The length of transplanted fibula was 9-20 cm,and the flap area was 5 cm×3 cm to 21 cm×14 cm.All patients were followed up regularly.Limb function was assessed 12 months after surgery.Results Thirty-one cases of vascularized fibular flap survived after surgery.Thirty patients were followed up for 1.5 to 6 years (average,2.5 years).One patient was lost to follow-up.The bone defects of patients followed up were healed.There was one case fracture occurred for trauma,was treated with plaster cast for 6 months and healed.The transplanted fibular thickened for 1.3 to 2.5 years(average,1.6 years).Conclusion Vascularized fibular graft can reconstruct long bone defect for single use and shorten the duration of treatment with a good limb function.For cases combined soft tissue defect,vascularized fibula composite tissue flap can be applied to repair at the meantime.