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Is There Benefit to Free Over Pedicled Vascularized Grafts in Augmenting Tibial Intercalary Allograft Constructs?在增强胫骨节段性同种异体移植结构方面，游离血管化移植物相对于带蒂血管化移植物有优势吗？
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Vascularized bone transfer for tibial pseudarthrosis. Part I: Vascularized fibula transplantation. A report of 4 cases in the treatment of traumatic bone defects of the tibia.用于胫骨假关节的带血管骨移植。第一部分：带血管腓骨移植。4例治疗胫骨创伤性骨缺损的报告。
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Lengthening of intercalary allograft combined with free vascularized fibular graft after reconstruction in pediatric osteosarcoma of femur.股骨小儿骨肉瘤重建术后节段性同种异体骨延长联合游离血管化腓骨移植术
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Telescoping vascularized fibular graft: a new method.套叠式带血管腓骨移植：一种新方法。
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Vascularized fibular grafts in the treatment of congenital pseudarthrosis of the tibia.带血管蒂腓骨移植治疗先天性胫骨假关节
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Congenital pseudarthrosis of the tibia.先天性胫骨假关节
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Congenital Pseudarthrosis of the Tibia: Long-term Outcome of Treatment With Intramedullary Vascularized Fibular Graft Combined With Ilizarov Distraction.先天性胫骨假关节：带血管腓骨髓内移植结合伊利扎洛夫牵张术治疗的长期疗效。
J Pediatr Orthop. 2023 Jul 1;43(6):e487-e492. doi: 10.1097/BPO.0000000000002399. Epub 2023 Mar 20.

引用本文的文献

1
Lengthening of free fibular grafts for reconstruction of the residual leg length discrepancy.游离腓骨移植延长术用于重建残留腿长差异。
BMC Musculoskelet Disord. 2019 Feb 8;20(1):66. doi: 10.1186/s12891-019-2445-z.
2
Acute shortening and angulation for limb salvage in a paediatric patient with a high-energy blast injury.一名患有高能爆炸伤的儿科患者为保肢进行急性缩短和成角手术。
BMJ Case Rep. 2014 Mar 20;2014:bcr2013203431. doi: 10.1136/bcr-2013-203431.

本文引用的文献

1
Long-term follow-up on the use of vascularized fibular graft for the treatment of congenital pseudarthrosis of the tibia.带血管腓骨移植治疗先天性胫骨假关节的长期随访。
J Orthop Surg Res. 2008 Mar 6;3:13. doi: 10.1186/1749-799X-3-13.
2
Intercalary segmental reconstruction after bone tumor resection.骨肿瘤切除术后的节段间重建。
Eur J Surg Oncol. 2008 Dec;34(12):1271-6. doi: 10.1016/j.ejso.2007.11.010. Epub 2008 Jan 11.
3
Free vascularized fibular graft salvage of complications of long-bone allograft after tumor reconstruction.带血管游离腓骨移植挽救肿瘤重建后长骨同种异体移植的并发症。
J Bone Joint Surg Am. 2008 Jan;90(1):93-100. doi: 10.2106/JBJS.G.00551.
4
The use of free vascularized fibular grafts in skeletal reconstruction for bone tumors in children.游离带血管腓骨移植在儿童骨肿瘤骨骼重建中的应用。
J Am Acad Orthop Surg. 2007 Oct;15(10):577-87. doi: 10.5435/00124635-200710000-00001.
5
Free vascularized fibula and reconstruction of long bones in the child--our evolution.游离带血管腓骨与儿童长骨重建——我们的发展历程。
Microsurgery. 2007;27(5):415-9. doi: 10.1002/micr.20384.
6
Long bone reconstruction with vascularized bone grafts.带血管蒂骨移植进行长骨重建。
Orthop Clin North Am. 2007 Jan;38(1):23-35, v. doi: 10.1016/j.ocl.2006.10.006.
7
Lengthening of a free fibular graft after sarcoma resection of the humerus.肱骨肉瘤切除术后游离腓骨移植体的延长术
Clin Orthop Relat Res. 2007 Apr;457:242-6. doi: 10.1097/BLO.0b013e31802c7932.
8
Results of free vascularized fibula grafting for allograft nonunion after limb salvage surgery for malignant bone tumors.恶性骨肿瘤保肢手术后同种异体骨不愈合的游离血管化腓骨移植结果。
J Pediatr Orthop. 2006 Nov-Dec;26(6):809-14. doi: 10.1097/01.bpo.0000235394.11418.c7.
9
Bone lengthening in children: how to predict the complications rate and complexity?儿童骨延长：如何预测并发症发生率和复杂性？
J Pediatr Orthop. 2006 Sep-Oct;26(5):634-40. doi: 10.1097/01.bpo.0000229977.31931.69.
10
The use of massive bone allograft with intramedullary free fibular flap for limb salvage in a pediatric and adolescent population.在儿童和青少年人群中使用大块同种异体骨联合髓内游离腓骨瓣进行保肢治疗。
Plast Reconstr Surg. 2006 Aug;118(2):413-9. doi: 10.1097/01.prs.0000227682.71527.2b.

病例报告：带血管蒂游离腓骨移植延长术

Case reports: lengthening of a vascularized free fibular graft.

作者信息

Courvoisier Aurélien, Sailhan Frédéric, Mary Pierre, Damsin Jean-Paul

机构信息

Pediatric Orthopaedics Department, Armand Trousseau Hospital, Paris, France.

出版信息

Clin Orthop Relat Res. 2009 May;467(5):1377-84. doi: 10.1007/s11999-008-0663-z. Epub 2008 Dec 10.

DOI:10.1007/s11999-008-0663-z
PMID:19082678
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2664416/
Abstract

Wide bone resection is sometimes necessary for bone tumors, and reconstruction is a major challenge. Vascularized fibular graft is one alternative but may result in progressive limb-length discrepancy (LLD) in children with substantial growth left. Progressive distraction lengthening with an external fixator is now a standard procedure to generally correct LLD. However, lengthening of free vascularized fibular grafts for lower limb reconstruction has not been reported frequently and then only in small series or case reports. We report our experience with three patients with lengthening after tibial reconstruction with a free vascularized fibular graft and review the literature.

摘要

对于骨肿瘤，有时需要进行广泛的骨切除，而重建是一项重大挑战。带血管蒂腓骨移植是一种选择，但对于仍有大量生长潜力的儿童，可能会导致渐进性肢体长度差异（LLD）。使用外固定器进行渐进性牵张延长目前是普遍纠正LLD的标准方法。然而，用于下肢重建的游离带血管蒂腓骨移植延长术的报道并不常见，且仅见于小系列病例或病例报告。我们报告了3例采用游离带血管蒂腓骨移植进行胫骨重建后延长的经验，并对文献进行了综述。