Pollock Rob, Stalley Paul, Lee Ken, Pennington David
Department of Orthopaedic Surgery, Royal Prince Alfred Hospital, Missenden Rd, Sydney, Australia.
J Reconstr Microsurg. 2005 Feb;21(2):79-84. doi: 10.1055/s-2005-864839.
The authors review the outcome of a consecutive series of 24 free vascularized fibular grafts performed as part of a limb-salvage procedure following tumor excision. There were 15 women and nine men with a mean age of 26 years (range: 6 to 52 years). The minimum follow-up was 12 months. The mean length of the graft was 13.1 cm. (range: 4.5 to 25 cm). Fifteen grafts were used in the upper limb, eight in the lower limb, and one in the pelvis. Bony union was achieved in 21/24 patients at a mean of 9.3 months. Complications occurred in 13/24 patients of whom 11 required a second operation. Four patients died of metastatic disease. The mean Musculoskeletal Tumor Society (MSTS) functional score in the remaining 20 was 84.5 percent, with 16 patients having a good or excellent outcome. Free vascularized fibula grafts offer a reliable method of reconstruction after excision of bone tumors. Although the incidence of complications appears high, they are relatively easy to correct, bony union is achieved in the majority, and functional outcome is good.
作者回顾了作为肿瘤切除后保肢手术一部分而连续进行的24例游离带血管腓骨移植的结果。患者中有15名女性和9名男性，平均年龄26岁（范围：6至52岁）。最短随访时间为12个月。移植腓骨的平均长度为13.1厘米（范围：4.5至25厘米）。15例用于上肢，8例用于下肢，1例用于骨盆。21/24例患者实现了骨愈合，平均时间为9.3个月。13/24例患者出现并发症，其中11例需要二次手术。4例患者死于转移性疾病。其余20例患者的平均肌肉骨骼肿瘤学会（MSTS）功能评分为84.5%，16例患者结局良好或优秀。游离带血管腓骨移植为骨肿瘤切除后提供了一种可靠的重建方法。尽管并发症发生率似乎较高，但相对易于纠正，大多数患者实现了骨愈合，功能结局良好。
