Chang M C, Lo W H, Chen C M, Chen T H
Department of Orthopedics and Traumatology, Veterans General Hospital-Taipei, Taiwan, ROC.
Orthopedics. 1999 Aug;22(8):739-44. doi: 10.3928/0147-7447-19990801-05.
This article reports on the use of double-strut, free vascularized fibular grafts to treat six patients with infected nonunion or traumatic bone loss in the femur or tibia after prolonged treatment and multiple operations. The defects were 6-13 cm long. Five patients achieved solid union within 6 months, and one patient required additional cancellous grafting to achieve union at the distal end of the fibula. One patient experienced a stress fracture due to strenuous exercise, and union was achieved 3 months after reapplying an external fixator. Although three patients had some restricted knee motion, all patients had a satisfactory outcome in regard to walking, and no limb-length discrepancies were noted in any patient.
本文报道了使用双支柱、游离带血管腓骨移植术治疗6例股骨或胫骨感染性骨不连或创伤性骨缺损患者的情况，这些患者经过长时间治疗和多次手术。缺损长度为6 - 13厘米。5例患者在6个月内实现了牢固愈合，1例患者需要额外的松质骨移植以实现腓骨远端愈合。1例患者因剧烈运动发生应力性骨折，重新应用外固定器3个月后实现愈合。尽管3例患者膝关节活动有些受限，但所有患者在行走方面都有满意的结果，且未发现任何患者存在肢体长度差异。
