Lee E H, Goh J C, Helm R, Pho R W
National University of Singapore.
J Bone Joint Surg Br. 1990 Jan;72(1):129-31. doi: 10.1302/0301-620X.72B1.2298771.
Ten adults were studied two to seven years after resection of a fibula for use as a free vascularised bone graft. Six had no symptoms in the donor leg, four had some aching, weakness or paraesthesia and three had definite weakness of the long toe flexors and extensors. All knees and ankles were clinically and radiologically stable, but the distal fibular remnant was osteoporotic in nine patients. Gait analysis of the donor leg and the contralateral normal leg showed definite differences, which could be attributed to weakness of the deep muscles caused by loss of their normal origin and to the change in load transmission through the fibula.
对10名成年人在腓骨切除用作游离带血管骨移植后两到七年进行了研究。6名患者供体腿无症状，4名有一些疼痛、无力或感觉异常，3名患者长趾屈肌和伸肌有明确的无力。所有膝关节和踝关节在临床和放射学上均稳定，但9名患者的腓骨远端残余骨质疏松。对供体腿和对侧正常腿的步态分析显示出明显差异，这可能归因于深层肌肉因失去正常起点而导致的无力以及通过腓骨的负荷传递变化。
