Weiland A J, Kleinert H E, Kutz J E, Daniel R K
J Hand Surg Am. 1979 Mar;4(2):129-44. doi: 10.1016/s0363-5023(79)80129-x.
Free vascularized fibular grafts were employed in five patients with segmental bone defects following trauma or resection of tumors of the upper extremity with excellent results in three patients and satisfactory results in two. No donor site morbidity was experienced. A comparison with rib and iliac crest grafts indicates that the fibula is more suitable for reconstruction of long bone defects. The advantages of this technique are stability without sacrificing viability and a shorter immobilization period with more rapid incorporation and hypertrophy of the graft. The disadvantages are prolonged operating time, difficulty in assessing patency of anastamoses in the immediate postoperative period, and sacrifice of a major vessel in the lower extremity.
五例上肢创伤或肿瘤切除术后节段性骨缺损患者采用了带血管蒂游离腓骨移植，三例效果极佳，两例效果满意。未出现供区并发症。与肋骨和髂嵴移植相比，腓骨更适合重建长骨缺损。该技术的优点是在不牺牲活力的情况下保持稳定性，固定期较短，移植骨融合和肥大更快。缺点是手术时间延长，术后即刻难以评估吻合口通畅情况，以及牺牲下肢的一条主要血管。
