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Category: Volume 12 Issue 03 March 2024
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Title: Use of Fibular Strut Graft for Reconstruction of Bone Defects

Authors: Dr Nehal Kumar, Dr A. K. Mahto

 DOI: https://dx.doi.org/10.18535/jmscr/v12i03.08

Abstract

Introduction

  • Bone recalcitrant nonunion and bone defects usually follow trauma, resection of a malignant tumor of the musculoskeletal system and osteomyelitis.
  • Instead of amputation, which was used in the past, limb salvage surgeries, including non-vascularized or vascularized autografts and allografts, bone transport and replacement with prostheses are performed.
  • Among the above methods, non-vascularized autogenous bone graft use is an important treatment strategy that has been performed for over a hundred years.
  • The fibula is a tubular bone that has a suitable length, geometrical shape and mechanical strength and is considered to be the best donor bone for large bone defects.
  • Free vascularized fibular grafts achieve higher union rate than non-vascularized fibular grafts in the reconstruction of long bone defects.
  • In this study, 6 patients with bone defects treated by non-vascularized fibular grafts .We intended to assess the clinical outcomes of graft union, functional outcome.

References

  1. Adani R, Delcroix L, Innocenti M et al. Reconstruction of large posttraumatic skeletal defects of the forearm by vascularized free fibular graft. Microsurgery 2004 ; 24 : 423-429.
  2. Al-zahrani S, Harding MG, Kremli M, Khan FA, Ikram A, Takroni T. Free fibular graft still has a place in the treatment of bone defects. Injury 1993 ; 24 : 551-554.
  3. Bell SN, Dooley BJ, O’Brien BMcC, Bright NF. Cortical bone grafts with muscle pedicles : an experimental study of survival and ability to bridge a bone gap. J Bone Joint Surg 1985 : 67-B : 804-808.
  4. De Boer HH, Wood MB. Bone changes in the vascu- larised fibular graft.J Bone Joint Surg.1989 ; 71-B : 374- 378.
  5. Enneking WF, Eady JL, Burchardt H. Autogenous cortical bone grafts in the reconstruction of segmental skeletal defects. J Bone Joint Surg 1980; 62-A : 1039- 1058.
  6. Falder S, Sinclair JS, Rogers CA, Townsend PL. Long- term behaviour of the free vascularised fibula following reconstruction of large bony defects. Br J Plast Su

Corresponding Author

Dr Nehal Kumar

Resident, Dept. of Oprthopedics (KMCH)