Pederson William C, Person David W
The Hand Center of San Antonio, and Department of Orthopaedic Surgery, The University of Texas Health Science Center at San Antonio, San Antonio, TX 78240, USA.
Orthop Clin North Am. 2007 Jan;38(1):23-35, v. doi: 10.1016/j.ocl.2006.10.006.
The vascularized fibula may be used for long bone reconstruction reliably and successfully. Since its description by Taylor, the fibula flap has evolved to solve a myriad of long bone reconstructive dilemmas. The flap is used routinely for non-unions, postoncologic resections, and congenital defects. It provides faster and more reliable union than nonvascularized grafts. When constructed in a double-barrel configuration, it offers the ability to bear weight. The vascularized fibula can be used to maintain growth by virtue of transferring the physis. The vascularized fibula is thus both the workhorse and thoroughbred in long bone construction.
带血管蒂的腓骨可可靠且成功地用于长骨重建。自泰勒对其进行描述以来，腓骨瓣已不断发展，以解决众多长骨重建难题。该瓣常用于骨不连、肿瘤切除术后及先天性缺损。与非带血管蒂移植物相比，它能实现更快、更可靠的骨愈合。以双筒结构构建时，它具备承重能力。带血管蒂的腓骨可通过转移骨骺来维持生长。因此，带血管蒂的腓骨在长骨构建中既是主力，也是良种。
