Pedicled vascularised fibular grafting in a flow-through manner for reconstruction of infected non-union of the tibia with preservation of the peroneal artery: a case report.
نویسندگان
چکیده
We report on an 82-year-old man with an infected non-union of the right tibia in which the peroneal artery was the sole artery supplying the lower leg, owing to peripheral arterial disease. He underwent tibial reconstruction using the pedicled vascularised fibular graft in a flow-through manner (without ligation of either the proximal or distal ends of the peroneal artery) and achieved successful bony union.
منابع مشابه
Residual nonunion following vascularised fibular graft treatment for congenital pseudarthrosis of the tibia: a report of two cases.
Resection and reconstruction using a vascularised fibular graft is a viable alternative treatment for congenital pseudarthrosis of the tibia, although distal junctional nonunion and residual deformity are known complications that are difficult to treat. We illustrate 2 cases in which bony union was achieved following a technique using fibular grafting and intramedullary nailing, without additio...
متن کاملGiant cell tumour of the distal radius: wide resection and reconstruction by non-vascularised proximal fibular autograft.
INTRODUCTION Giant cell tumours of the bone are aggressive and potentially malignant lesions. Juxtaarticular giant cell tumours of the lower end radius are common and present a special problem of reconstruction after tumour excision. Out of the various reconstructive procedures described, non-vascularised fibular autograft has been widely used with satisfactory functional results. MATERIALS A...
متن کاملVascularised fibular grafts. An experience of 102 patients.
The results and complications of 104 vascularised fibular grafts in 102 patients are presented. Bony union was ultimately achieved in 97 patients, with primary union in 84 (84%). The mean time to union was 15.5 weeks (8 to 40). In 13 patients, primary union was achieved at one end of the fibula and secondary union at the other end. In these patients, the mean time to union was 31.1 weeks (24 to...
متن کاملPedicled Retrograde Fibula Flap for Ankle Reconstruction after Oncologic Resection of the Distal Fibula
1 Sir: D of the distal fibula can result in ankle instability.1 Ankle reconstruction for defects involving the distal fibula include arthrodesis, nonvascularized autografts, and free flaps.2 Pedicled flaps have some advantages over free flaps, including decreased operative time and decreased postoperative complications.3 Pedicled retrograde fibula flaps have been previously described for tibial...
متن کاملThe non-vascularised fibular graft: a simple and successful method of reconstruction of the pelvic ring after internal hemipelvectomy.
Internal hemipelvectomy is a standard treatment for malignant tumours of the pelvis. Reconstruction using a non-vascularised fibular graft is relatively straightforward compared to other techniques. We describe the surgical and functional outcomes for a series of ten patients who underwent an internal hemipelvectomy (type I or I/IV) with reconstruction by a non-vascularised fibular graft betwee...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Journal of orthopaedic surgery
دوره 23 1 شماره
صفحات -
تاریخ انتشار 2015