Tibial defects secondary to diaphyseal sequestration in patients with uncontralled osteomyelitis are difficult to treat by conventional bone-grafting operations, In such conditions, the overlying skin is usually unhealthy, with adherent scarring,
discharging sinuses, and persistent infection. Local bone-grafting operations may result in a flare-up of the infection and repeated failures. The Huntington fibular transferece operation has proved to be an ideal proceure when the local
condition
of
either skin or bone, or both, is not suitable for conventional bone grafting operation. In the original Huntington fibula transference operation, the fibula, trasferred as a pedicle graft, hypertrophies under weight bearing stresses, fixing the
fibial
fragments and stimulating osteogenesis6).
The modified technique of the Huntington fibula tranference operation was done in four patients with non-union and extensive bone defect of tibial diaphysis. This procedure is carried out in one stage and by passes the site of previous infection.
It
does not carry the risk of causing a flare-up of infection and it is more suitable for these patients. All of the patients were followed up at least one years.
@ES The result are as follows;
@EN 1. The mean age of the patients was 41 years and all of them were male.
2. The common cause of injury were machinary injury and traffic accident
3. All cases were type III B fracture(by Gustilo-Anderson Classification.)
4. The modified Huntington fibula transference operation, which was combination of the original Huntington fibula transference operation with one stage procedure and posterior cancellous bone grafting through the posterolateral approach for
synostosis
between tibia and fibula.
5. The average union time was 4 months.
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