Rachbauer A, Laufer A, Gosheger G, Toporowski G, Frommer A, Jacob E, Deventer N, Roedl R, Vogt B
Department of Children's Orthopedics, Deformity Reconstruction and Foot Surgery, Muenster University Hospital, Muenster, Germany.
Department of General Orthopedics and Tumor Orthopedics, Muenster University Hospital, Muenster, Germany.
Case Rep Orthop. 2021 May 1;2021:5563931. doi: 10.1155/2021/5563931. eCollection 2021.
Intramedullary limb lengthening via lengthening nails has been performed for more than three decades to overcome leg length inequalities. Plate-assisted bone segment transport (PABST) has recently been described for the reconstruction of segmental bone defects. We modified this procedure by using the ipsilateral fibula as a "biological plate" and report on its technical particularities and application in the reconstructive treatment of adamantinomas of the tibia in two patients. Both patients were successfully treated by wide resection and reconstruction of the tibial bone via bone segment transport through an expandable intramedullary nail using the remaining ipsilateral fibula to provide stabilization and guidance. This procedure was titled "fibula-assisted segment transport" (FAST). This is a new and promising technique that allows an entirely biological reconstruction of large bone defects of the tibia.
通过延长髓内钉进行髓内肢体延长已开展三十多年，用于克服肢体长度不等。最近有人描述了钢板辅助骨段转移术（PABST）用于节段性骨缺损的重建。我们对该手术进行了改良，使用同侧腓骨作为“生物钢板”，并报告其技术特点以及在两名胫骨造釉细胞瘤重建治疗中的应用。两名患者均通过使用剩余同侧腓骨经可扩张髓内钉进行骨段转移，成功接受了胫骨的广泛切除和重建，以提供稳定和引导。该手术被命名为“腓骨辅助骨段转移”（FAST）。这是一种新的、有前景的技术，可对胫骨的大骨缺损进行完全生物学重建。
