Zaretski Arik, Gur Eyal, Kollander Yehuda, Meller Isaac, Dadia Shlomo
J Child Orthop. 2011 Aug;5(4):241-9. doi: 10.1007/s11832-011-0348-0. Epub 2011 May 19.
This review describes the kinds of skeletal bone defects in bones which develop through enchondral ossification. It focuses on the biological reconstruction of those defects according to the two main subtypes, intercalary and osteoarticular. We list the causes of bone defects and outline the different types and configurations that result from them. We then review the currently available reconstructive options according to the patient's age and describe the theoretical options as well. Finally, the history, surgical anatomy and clinical use of the free fibula flap will be reviewed. From our own clinical experience and review of the literature, we conclude that biological reconstruction is, in many ways, superior to alloplastic materials, especially in children, adolescents and young adults.
本综述描述了通过软骨内成骨发育的骨骼中的各种骨缺损类型。它根据两种主要亚型，即节段性和骨关节性，重点介绍了这些缺损的生物重建。我们列出了骨缺损的原因，并概述了由其导致的不同类型和形态。然后，我们根据患者年龄回顾了目前可用的重建选择，并描述了理论上的选择。最后，将回顾游离腓骨瓣的历史、手术解剖和临床应用。根据我们自己的临床经验和文献综述，我们得出结论，生物重建在许多方面优于异体材料，尤其是在儿童、青少年和年轻成年人中。
