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KMID : 0361620070420030285
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Journal of the Korean Orthopaedic Association
2007 Volume.42 No. 3 p.285 ~ p.290
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New Fibular Strut Graft Technique to Minimize Donor Site Complications
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Jung Sung-Taek
Kim Byung-Soo
Xin Zeng-Feng
Moon Eun-Sun
Lee Keun-Bae
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Abstract
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Purpose : To evaluate the effectiveness of a periosteal sleeve preserced fibular strut graft for the minimization of donor site complications.
Materials and Methods : Between September 1998 and March 2005, 20 patients who were followed for more than 12 months after the fibular sturt graft for a bone defect using a periosteal sleeve preservation technique were evaluated. The mean age was 13.3 years (range, 2-29 years) and the mean follow-up period was 16.2 months (range, 12-36 months).
Results : The mean time for the union of the primary disease was 3.3 months (range, 2-6 months) and for regeneration of the donor site was 9.1 weeks (range, 4-12 weeks) in 13 cases. Partial regenerationdeveloped in 6 cases and there was no regeneration in 1 case. There were 2 cases of donorsite complications.
Conclusion : The new fibular strut graft technique is very effective method for reconstruction of a bone defect with minimization of the donor site complications particularly in children.
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KEYWORD
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Fibular graft, Periosteal sleeve preservation, Donor site complications
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