O'Brien B M, Gumley G J, Dooley B J, Pribaz J J
Plastic Surgery Unit, St. Vincent's Hospital, Melbourne, Australia.
Plast Reconstr Surg. 1988 Aug;82(2):311-8. doi: 10.1097/00006534-198808000-00017.
A technique of improved free vascularized fibula grafting for bone defects up to 15 cm in length is presented with three illustrative cases. By dividing a harvested free fibula graft at its midpoint without dividing its vascular pedicle, two vascularized bone lengths are produced that require only one set of anastomoses. This folded fibula provides twice the cross-sectional area of a single fibula transfer and allows biomechanically improved graft placement. This technique has been successfully used in long bone defects of the upper and lower limbs.
本文介绍了一种改良的游离带血管腓骨移植技术，用于治疗长达15厘米的骨缺损，并列举了三个病例。通过在不切断血管蒂的情况下将采集的游离腓骨移植体在中点处切断，可产生两段带血管的骨段，仅需一组吻合。这种折叠腓骨提供的横截面积是单次腓骨转移的两倍，并在生物力学上改善了移植体的放置。该技术已成功应用于上下肢长骨缺损的治疗。
