Department of Orthopaedic Surgery, University of Ioannina, School of Medicine, Ioannina, Greece.
Microsurgery. 2011 Mar;31(3):171-5. doi: 10.1002/micr.20848. Epub 2011 Mar 3.
Successful free vascularized bone transfers have revolutionized the limb salvage and musculoskeletal reconstruction. The free vascularized fibula remains the mainstay in bone reconstruction combines the benefits of blood supply, biological potential, and callus formation with its unique biomechanical characteristics offering a supreme candidate for various dissolvable issues. Especially in conditions where there was lack of other applicable method and the free vascularized fibular graft was introduced as the only alternative. Extensive traumatic bone loss, tumor resection, femoral head osteonecrosis and congenital defects have been managed with exceptional results beyond expectations. The present manuscript updates several issues in application of free vascularized fibular graft in extremity and trunk reconstruction. It also highlights tips and pearls of surgical technique in some crucial steps of harvesting the vascularized fibular graft in order to offer a vascularized bone with safety and low donor site morbidity.
成功的游离血管化骨移植彻底改变了肢体挽救和肌肉骨骼重建。游离腓骨仍然是骨重建的主要方法，结合了血供、生物潜力和骨痂形成的优势，以及其独特的生物力学特性，为各种可溶解问题提供了最佳候选者。特别是在缺乏其他适用方法的情况下，游离腓骨移植被作为唯一的选择引入。广泛的创伤性骨丢失、肿瘤切除、股骨头坏死和先天性缺陷都得到了极好的治疗效果，超出了预期。本文更新了游离腓骨移植在外周和躯干重建中的几个应用问题。还强调了在游离腓骨移植的一些关键步骤中手术技术的技巧和要点，以提供安全且供区并发症低的带血管化骨。
