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KMID : 0613319950010020171
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Journal of the Korean Bone and Joint Tumor Soceity
1995 Volume.1 No. 2 p.171 ~ p.180
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Vascularized Fibular Graft in the Treatment of Bone Tumor
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Han Chung-Soo
Yoo Myung-Chul
Chung Duke-Whan
Lee Geon-Hee
Lee Jong-Won
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Abstract
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Recently vascularized fibular transfer has been used in the treatment of bone tumor that are more than six centimeter in length. With refinements in microsurgical techniques and understanding of the biological and biomechanical characteristics of vascularized bone graft, the success rate of this procedure was increased. Fifteen bone tumor patients, sixteen cases seen from Apr. 1979 to Jun. 1995 were managed by means of vascularized bone graft at Kyung Hee University Hospital. Ten cases were done intercalary graft and the others were done osteoarticular graft the ratio of male and female was 6 : 9, and mean age was 20.4 years old at operation. Mean follow up period was 5 years 4 months(range 17 months to 16 years 2 months) and mean graft length was 13.8cm. Duration for union was 5.3 months(range 3 months to 1 year) and over-all rate of union at the last follow up examination was 93.8%. Sufficient hypertrophy of grafted bone was obtained in all cases at the time of last follow up as compared to initial size of grafted bone. Several complications were found such as stress fractures, recurrence. Vascularized fibular transfer for the treatment of bone tumor is a valuable procedure in appropriately selected patients.
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KEYWORD
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Vascularized fibular transfer, Bone tumor
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