Vascularised fibula graft for tumours

Vascularised fibula graft for tumours

The reconstruction of long bone defects after tumor resection has been a challenge to the reconstructive surgeon. Increased survival of patients with aggressive or malignant tumors of the extremities has made microsurgical reconstruction more relevant in improving their quality of life. In order to avoid amputation, these long defects are often reconstructed with vascularized autogenous fibular...

Use of the ipsilateral vascularised fibula for tibial reconstruction.

Between 1989 and 1994 we used a vascularised ipsilateral fibular graft in 24 patients with segmental tibial defects. We report 12 patients with a minimum follow-up of two years. The graft was either transposed medially or inverted on its vascular pedicle. Full weight-bearing was achieved at between four and seven months. We had few complications and consider that the use of this method is a val...

Reconstruction and limb salvage using a free vascularised fibular graft for periacetabular malignant bone tumours.

We treated four patients with periacetabular malignant tumours by pelvic reconstruction with a free vascularised fibular graft after resection of the tumour. The mean follow-up period was 32 months (9 to 39). The diagnosis was chondrosarcoma in three patients and osteosarcoma in one. In two patients total resection of the hemipelvis was required and in the other two less, but still massive, res...

Giant cell tumours of the proximal fibula.

Free vascularised fibular strut graft for anterior spinal fusion.

A vascularised fibular strut graft was used for anterior spinal fusion in 16 patients with spinal kyphosis. The procedure was abandoned in three because of difficulty in establishing a vascular anastomosis and in one because the grafted fibula dislodged two days after operation. One patient died after five days. Of the 11 remaining patients, there were seven males and four females. Their ages a...