Watari S, Ikuta Y, Adachi N, Murase M, Tsuge K
Clin Orthop Relat Res. 1978 Jun(133):158-64.
In 4 cases of bone tumor in which extensive bone defects resulted from removal of the tumorous focus, vascular pedicle free fibular transplantation was performed using microsurgical techniques together with filling the defects with iliac bone. Early bone union was achieved. Atrophy and fracture were avoided. Early postoperative physical therapy was possible. The vessels selected in the recipient site are dependent upon the location of the graft bed, but the anastomosed site of the vessels should be kept outside of the graft bed. It is important to plan the operation so as to avoid motion at the site of callus formation and tension at the anastomosis site.
在4例因切除肿瘤病灶导致广泛骨缺损的骨肿瘤病例中，采用显微外科技术进行了带血管蒂游离腓骨移植，并同时用髂骨填充缺损。实现了早期骨愈合。避免了萎缩和骨折。术后早期即可进行物理治疗。受体部位所选用的血管取决于植骨床的位置，但血管吻合部位应保持在植骨床之外。重要的是要精心规划手术，以避免骨痂形成部位的活动和吻合部位的张力。
