|
KMID : 0361619930280062131
|
|
Journal of the Korean Orthopaedic Association
1993 Volume.28 No. 6 p.2131 ~ p.2142
|
|
|
A Clinical Study of Vascularized Osteocutaneous Fibular Transfer to the Tibia
|
|
|
|
|
Abstract
|
|
|
Recent advances in microsurgery have made it possible to provide a continued circulation of blood to the grafted bone so as to ensure viability. With the nutrient blood supply preserved. Healing of the graft to the recipient bone is facilitated
without
the usual replacement of the graft by creeping substitution.
We reviewed 34 cases of vascularized osteocutaneous fibular transfers to the infected tibial defect complicated with skin defect. Whcit were performed from may. 1982 to january, 1992, and the following results were obtained:
1. Despite of uncontrolled bone infection with skin defect, the vascularized osteocutaneous fibular flap transfer could be performed.
2. In the vascularized osteocutaneous fibula transfer, the patency of anastomoses could be indirectly monitored by observing the color of the skin flap.
3. The vascularized fibula had been hypertrophied with bony union during the follow-up period of 13 months to 6 years and 4 months(average 30 months) and there was no resorption of the gratted fibula.
4. There was no fracture of the grafted fibula in partial resection of involved tibia.
5. The hypertrophic potentiality grafted fibula could be inhibited by the infection status at operation site.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|