de Boer H H, Wood M B, Hermans J
Department of Orthopaedic Surgery, De Wever Hospital, NL-Heerlen, The Netherlands.
Int Orthop. 1990;14(2):121-8. doi: 10.1007/BF00180115.
We have studied the results of reconstruction of a large skeletal defect using a vascularized fibula graft in 62 consecutive cases. We were particularly interested in factors that may significantly influence the outcome of union. In at least 90% of cases, eventual union can be expected in the reconstruction of large skeletal defects resulting from tumour resection, traumatic bone loss, or nonunion. The results of reconstruction for osteomyelitis were less favorable. Statistical analysis of the influences of bone graft polarity, internal fixation, additional bone graft polarity, internal fixation, additional bone graft material, and the length of the graft on the outcome of union revealed that the use of stable fixation and additional bone graft material significantly enhanced bone union, whereas the length or polarity of the graft had no influence.
我们研究了连续62例使用带血管腓骨移植修复大的骨骼缺损的结果。我们特别关注可能显著影响愈合结果的因素。在至少90%的病例中，预计肿瘤切除、创伤性骨丢失或骨不连导致的大的骨骼缺损修复最终可实现愈合。骨髓炎修复的结果不太理想。对骨移植极性、内固定、额外骨移植极性、内固定、额外骨移植材料以及移植长度对愈合结果的影响进行统计分析发现，使用稳定固定和额外骨移植材料可显著促进骨愈合，而移植长度或极性并无影响。
