Gay A, Louis M-L, Chabaud M, Legré R
Service de chirurgie de la main, chirurgie plastique et réparatrice des membres, hôpital de la Conception, 147 boulevard Baille, Marseille, France.
Chir Main. 2010 Dec;29 Suppl 1:S42-8. doi: 10.1016/j.main.2010.10.016. Epub 2010 Nov 17.
Free vascularized bone transfers are indicated to reconstruct large bone loss, either after traumatism or bone tumor resection. Free vascularized fibular transplant is particularly well designed for reconstruction of large defect of the distal radius. Anatomy is constant and harvesting is versatile and reliable. It may be used as bony transplant alone, osteocutaneous or osteocutaneomuscular. The length of the fibula harvested can be up to 25 cm. In children bone reconstruction, the proximal physis of the fibula can be transferred to allow secondary bone growth but there is a need for double anastomosis of the anteriotibial and the fibular bundles. Donor site sequelae are minimal.
带血管游离骨移植适用于创伤后或骨肿瘤切除后大段骨缺损的重建。带血管游离腓骨移植特别适合桡骨远端大段骨缺损的重建。其解剖结构恒定，切取方式灵活且可靠。它可单独作为骨移植、骨皮瓣或骨皮肌瓣使用。切取的腓骨长度可达25厘米。在儿童骨重建中，可移植腓骨近端骨骺以促进二次骨生长，但需要对胫前束和腓骨束进行双重吻合。供区后遗症极小。
