HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

Dual-fibular grafting for massive bone gaps in the lower extremity.

Abstract
Fifty-two patients who had a tumor in the lower extremity (thirty-seven, a giant-cell tumor and fifteen, a small osteosarcoma that had not metastasized) had dual-fibular strut-grafting to bridge the osseous gap resulting from excision of the tumor. The size of the gap ranged from nine to twenty-four centimeters. The average time until union ranged from ten to twenty months. The ipsilateral fibula was used in thirty-six patients and both fibulae, in the remaining sixteen patients. Immediate reimplantation and adequate fixation of the fibular graft to the proximal and distal ends of the bone to be grafted, along with placement of a cuff of cancellous bone at the host-graft junction and between the fibular struts, fostered early union of the graft to the host bone. Insertion of Kirschner wires inside these long grafts helped to maintain continuity of the graft when a stress fracture occurred. Eight patients who had a non-union at one of the host-graft sites and three who had a stress fracture had subsequent cancellous bone-grafting to obtain union. Superficial infection was the most common complication and was seen in seventeen patients.
AuthorsS S Yadav
JournalThe Journal of bone and joint surgery. American volume (J Bone Joint Surg Am) Vol. 72 Issue 4 Pg. 486-94 (Apr 1990) ISSN: 0021-9355 [Print] United States
PMID2324134 (Publication Type: Case Reports, Journal Article)
Topics
  • Adolescent
  • Adult
  • Bone Neoplasms (diagnostic imaging, surgery)
  • Bone Transplantation (methods)
  • Bone Wires
  • Child
  • Female
  • Fibula (diagnostic imaging, surgery, transplantation)
  • Giant Cell Tumors (diagnostic imaging, surgery)
  • Graft Survival
  • Humans
  • Male
  • Middle Aged
  • Osteosarcoma (diagnostic imaging, surgery)
  • Postoperative Complications
  • Radiography
  • Tibia (diagnostic imaging, surgery)

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: