Ihara K, Doi K, Yamamoto M, Kawai S
Department of Orthopaedic Surgery, Yamaguchi University School of Medicine, Ogori Daiichi General Hospital, Ube, Japan.
J Reconstr Microsurg. 1998 Aug;14(6):371-6. doi: 10.1055/s-2007-1000193.
Free vascularized fibular grafts were used in nine selected patients with bone tumors in the involved extremity. There were five locally aggressive tumors and four malignant tumors. Each skeletal defect was longer than 10 cm, and the mean length was 13 cm. Ten grafts of 17.4 cm in mean length were harvested in these nine patients. In two cases with upper-extremity involvement, arthroplasty using the fibular head was the procedure of choice, while interacalary grafting was performed in the lower extremity. Dual grafting was performed for complete defects of the femur. The viability of each graft was demonstrated through survival of the combined skin flaps or with a positive bone scan. Primary bony union was obtained in all cases, and the mean time to union was 5.2 months. In the lower extremity, significant hypertrophy of the graft was seen. Satisfactory functional results were obtained in all the patients.
对9例选定的患侧肢体有骨肿瘤的患者采用了带血管游离腓骨移植。其中有5例局部侵袭性肿瘤和4例恶性肿瘤。每个骨缺损长度均超过10cm，平均长度为13cm。这9例患者共切取了10根腓骨，平均长度为17.4cm。在上肢受累的2例患者中，选用使用腓骨头的关节成形术，而在下肢则进行节段性移植。对股骨完全缺损的患者进行了双移植。通过联合皮瓣存活或骨扫描阳性证实了每根移植骨的存活情况。所有病例均实现了一期骨愈合，平均愈合时间为5.2个月。在下肢，可见移植骨明显肥大。所有患者均获得了满意的功能结果。
