Archives of Reconstructive Microsurgery
- Volume 11 Issue 1
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- Pages.1-10
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- 2002
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- 2383-5257(pISSN)
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- 2288-6184(eISSN)
Free Vascularized Osteocutaneous Fibular Graft to the Tibia
경골에 시행한 유리 생비골 및 피부편 이식
- Lee, Kwang-Suk (Department of Orthopaedic Surgery, College of Medicine, Korea University) ;
- Han, Seung-Beom (Department of Orthopaedic Surgery, College of Medicine, Korea University) ;
- Lee, Byung-Taek (Department of Orthopaedic Surgery, College of Medicine, Korea University) ;
- Kim, Hyeong-Sik (Department of Orthopaedic Surgery, College of Medicine, Korea University)
- 이광석 (고려대학교 의과대학 정형외과학교실) ;
- 한승범 (고려대학교 의과대학 정형외과학교실) ;
- 이병택 (고려대학교 의과대학 정형외과학교실) ;
- 김형식 (고려대학교 의과대학 정형외과학교실)
- Published : 2002.05.31
Abstract
Purpose : To analyze the clinical results of free vascularized osteocutaneous fibula graft to tibial defect combined with soft tissue defect and infection. Materials and Methods : In the retrospective study of 51 consecutive cases of vascularized osteocutaneous fibular graft, the length of the grafted fibula, size of the skin flap, anastomosed vessels, ischemic time of the flap, time for union, hypertrophy of fibula and the complications were evaluated. Results : Initial bony union of the grafted fibula was obtained at 3.74 months after operation, except 4 cases of nonunion and delayed union. The weight bearing without external supports was possible at 18 months after operation in average. The fracture of grafted fibula was most common complication(16 cases). Conclusion : The vascularized osteocutaneous fibula graft provided satisfactory bony union and functional results in the cases not responsible for conventional treatment methods.