Free vascularised fibular grafting combined with a locking plate for massive bone defects in the lower limbs: a retrospective analysis of fibular hypertrophy in 18 cases

Injury
You-Shui GaoChangqing Zhang

Abstract

Free vascularised fibular grafting (FVFG) could be a good option for the restoration of massive bone defects in lower limbs when combined with use of a locking plate. The progress of fibular hypertrophy is closely related to regain of function, as well as to prevention of stress fractures. Multiple variables affecting fibular hypertrophy were investigated in the current study to elucidate correlative factors. Eighteen patients with a massive bone defect in a lower limb reconstructed by FVFG combined with a locking plate were retrospectively enrolled in the current study. The degree of fibular hypertrophy was calculated based on the measurements from anteroposterior imaging at regular intervals of 3 months, 6 months, 1, 2 and 3 years postoperatively. Repeated measures analysis of variance was employed to evaluate and compare correlative factors including gender (male vs. female), age distribution (<30 years vs. >30 years), site (femur vs. tibia) and length of bone defect (6-10 cm vs. >10 cm), previous number of operations (once vs. more than twice) and concomitant infection (detected vs. non-detected). All defects could be successfully repaired by FVFG and bone union was achieved uneventfully. The degree of fibular hypertrophy w...Continue Reading

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Citations

Oct 1, 2013·Injury·I PountosP V Giannoudis
Oct 26, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Kai-Cheng LinJenn-Huei Renn
Dec 29, 2015·In Silico Cell and Tissue Science·Aurélie CarlierLiesbet Geris
Nov 11, 2016·BMC Musculoskeletal Disorders·Matheus Lemos AziAlexander Joeris
Apr 11, 2017·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Kamolporn Kaewpornsawan, Perajit Eamsobhana
Feb 15, 2018·Annals of Plastic Surgery·Jung Eun LeeYoung Ho Lee
Jan 25, 2017·BMC Musculoskeletal Disorders·Xiaohua WangZhao Xie

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