Uchida Y, Kojima T, Sugioka Y
Department of Orthopaedic Surgery, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
J Bone Joint Surg Br. 1991 Sep;73(5):846-50. doi: 10.1302/0301-620X.73B5.1894680.
Five children with congenital pseudarthrosis of the tibia treated by free vascularised fibular grafts were followed up until skeletal maturity. The ipsilateral fibula was used in four cases, the contralateral fibula in one. All our cases achieved bone union, but leg length discrepancy, atrophy of the foot and ankle stiffness were frequent complications, due perhaps to the many previous operations. Vascularised fibular grafting might achieve better results if it were done as the primary procedure.
5例接受游离带血管腓骨移植治疗先天性胫骨假关节的患儿随访至骨骼成熟。4例使用同侧腓骨，1例使用对侧腓骨。所有病例均实现骨愈合，但由于既往手术次数较多，下肢长度差异、足萎缩和踝关节僵硬是常见并发症。如果将带血管腓骨移植作为初始治疗方法，可能会取得更好的效果。
