Archives of Reconstructive Microsurgery

The Korean Society for Microsurgery (대한미세수술학회)
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Reconstruction of Long Bone Defect with Vascularized Fibular Graft

생비골 이식술을 이용한 장골 골결손의 재건

  • Cho, Chang-Hyun (Department of Orthopedic Surgery, Busan Seail Hospital) ;
  • Jeun, Churl-Woo (Department of Orthopedic Surgery, Busan Seail Hospital) ;
  • Song, Won-Jae (Department of Orthopedic Surgery, Busan Seail Hospital) ;
  • Kim, Sung-Hoo (Department of Orthopedic Surgery, Busan Seail Hospital) ;
  • Chung, Duke-Whan (Department of Orthopedic Surgery, School of Medicine, Kyung Hee University)
  • 조창현 (부산 세일병원 정형외과) ;
  • 전철우 (부산 세일병원 정형외과) ;
  • 송원재 (부산 세일병원 정형외과) ;
  • 김성후 (부산 세일병원 정형외과) ;
  • 정덕환 (경희대학교 의과대학 정형외과학교실)
  • Published : 2006.05.31
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Abstract

Purpose: The purpose of this study was to evaluate the effectiveness of limb reconstruction and functional recovery using vascularized fibular graft in the treatment of extensive bone defect of long bone caused by various diseases. Materials and Methods: From september 1995 to March 2005, 21 patients with segmental bone defects were managed with vascularized fibular graft: 13 males and 8 females, aged 39 years on average (range, $8{\sim}65\;years$). The reconstructed site was the humerus in 9 patients, the femur in 5, the tibia in 4 and the forearm bone in 3. The length of bone defect ranged from $8{\sim}17\;cm$. Results: Twenty grafts were successful. The mean period to obtain radiographic bone union was 5.7 months on average. Conclusion: Fibular grafts allow the use of a segment of diaphyseal bone and of sufficient length to reconstruct most skeletal defects of the long bone. The vascularized fibular graft is indicated in patients with intractable nonunions where conventional bone grafting has failed or large bone defects.

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