Archives of Reconstructive Microsurgery
- Volume 17 Issue 2
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- Pages.68-74
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- 2008
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- 2383-5257(pISSN)
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- 2288-6184(eISSN)
Reconstruction of Tibia Defect with Free Flap Followed by Ipsilateral Vascularized Fibular Transposition
유리 피판술과 동측 혈관 부착 비골 전위술을 이용한 경골 결손의 재건
- Hwang, Jung-Chul (Department of Orthopedic Surgery, School of Medicine, Kyung Hee University) ;
- Chung, Duke-Whan (Department of Orthopedic Surgery, School of Medicine, Kyung Hee University) ;
- Han, Chung-Soo (Department of Orthopedic Surgery, School of Medicine, Kyung Hee University) ;
- Lee, Jae-Hoon (Department of Orthopedic Surgery, School of Medicine, Kyung Hee University) ;
- Ko, Taeg-Su (Department of Orthopedic Surgery, School of Medicine, Kyung Hee University) ;
- Park, Yang-Woo (Department of Orthopedic Surgery, School of Medicine, Kyung Hee University) ;
- Park, Jin-Sung (Department of Orthopedic Surgery, School of Medicine, Kyung Hee University)
- 황정철 (경희대학교 의과대학 정형외과학교실) ;
- 정덕환 (경희대학교 의과대학 정형외과학교실) ;
- 한정수 (경희대학교 의과대학 정형외과학교실) ;
- 이재훈 (경희대학교 의과대학 정형외과학교실) ;
- 고택수 (경희대학교 의과대학 정형외과학교실) ;
- 박양우 (경희대학교 의과대학 정형외과학교실) ;
- 박진성 (경희대학교 의과대학 정형외과학교실)
- Published : 2008.11.30
Abstract
Segmental defects of the tibia after open fractures, sepsis and a tumor surgery are among the most difficult and challenging clinical problems. Tibia defects in these situations are complicated with infection and are resistant to conventional bone grafting techniques. The aim of this study is to report the results and discuss the role of free flap followed by ipsilateral vascularized fibular transposition (IVFT) for reconstruction of tibia defects. Ten patients had free flap followed by IVFT in the period 1989~2007. Mean age was 25.3 years. The patients were followed for an average of 3.4 years. All flaps were survived including 1 case with venous thrombosis requiring additional surgery. The average time to union of proximal and distal end was 5.2 months, 8.2 months, each other. All transposed fibula were viable at last follow-up. IVFT offers the advantages of a vascularized graft. In patients with large bone and soft tissue defects combined with infection, free flap followed by IVFT is an useful and reliable method without microvascular anastomosis.