带血管腓骨移植膝关节融合术

Arthrodesis of knee joint by vascularized fibular graft.

作者信息

Usui M, Ishii S, Naito T, Wada T, Nagoya A, Takahashi T, Tsuchida Y

机构信息

Department of Orthopedic Surgery, Sapporo Medical University, Japan.

出版信息

Microsurgery. 1996;17(1):2-8. doi: 10.1002/(SICI)1098-2752(1996)17:1<2::AID-MICR1>3.0.CO;2-R.

DOI:10.1002/(SICI)1098-2752(1996)17:1<2::AID-MICR1>3.0.CO;2-R

PMID:8892273

Abstract

Knee arthrodesis has been performed in 17 patients using vascularized fibular graft (VFG); 15 of them could be followed more than 1 year. Twelve were bone defect following tumor resection, two were traumatic bone defect, and one was intractable traumatic non-union. Three types of graft were performed; single VGF as supplement (Type I) in 5 cases, double VFG for femoral defect (Type II) in 8 cases, and double VFG for tibial defect (Type III) in 4 cases. Bone union was achieved in all cases except one. The average time to primary bone union was 4.7 months. Hypertrophy of the graft was observed significantly in some of Type II and in all of Type III. VGF is a useful method for knee fusion in patients with a large bone defect or with an intractable non-union.

摘要

17例患者采用带血管腓骨移植（VFG）进行了膝关节融合术；其中15例随访时间超过1年。12例为肿瘤切除术后骨缺损，2例为创伤性骨缺损，1例为顽固性创伤性骨不连。采用了三种类型的移植；5例采用单根VGF作为补充（I型），8例采用双根VFG修复股骨缺损（II型），4例采用双根VFG修复胫骨缺损（III型）。除1例患者外，所有患者均实现了骨愈合。初次骨愈合的平均时间为4.7个月。在部分II型和所有III型患者中均观察到移植骨明显肥大。VGF是治疗大骨缺损或顽固性骨不连患者膝关节融合的一种有效方法。