Free vascularized osteocutaneous fibular graft to the tibia

Kwang Suk Lee, Jong Woong Park

Research output: Contribution to journalArticle

40 Citations (Scopus)

Abstract

We reviewed the clinical results of reconstruction performed for extensive tibial bone and soft tissue defect with a free vascularized osteocutaneous fibular graft in 46 patients (43 male and 3 female). The mean duration of follow-up was 30 months (range 13-76 months). The mean age at the time of reconstruction was 41 years (range 15-66 years). In the 46 consecutive procedures of free vascularized osteocutaneous fibular grafts, bony union was achieved in 43 grafted fibulae at an average of 3.75 months after operation. There were two delayed unions and one non-union. Forty-four cutaneous flaps survived, and two cutaneous flaps failed due to deep infection and venous insufficiency. One necrotized cutaneous flap was replaced with a latissimus dorsi free flap and the other with a soleus muscle rotational flap without replacing the grafted fibulae; unions were obtained without significance complications. All grafted fibulae hypertrophied during the follow-up periods. The most common complication was fracture of the grafted fibulae in 15 patients, and it occurred at an average of 9.7 months after the reconstruction. The fractured fibulae were treated with long leg above-the-knee cast immobilization or internal fixation with conventional cancellous bone graft. Free vascularized osteocutaneous fibular graft is a good treatment modality for the reconstruction of extensive bone and soft tissue defect in the leg. Fracture of the grafted fibula, one of the most common complications after this operation, can easily be treated with cast immobilization or internal fixation with conventional cancellous bone graft.

Original languageEnglish
Pages (from-to)141-147
Number of pages7
JournalMicrosurgery
Volume19
Issue number3
DOIs
Publication statusPublished - 1999 May 25

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Fibula
Tibia
Transplants
Immobilization
Skin
Leg
Bone and Bones
Venous Insufficiency
Superficial Back Muscles
Free Tissue Flaps
Knee
Skeletal Muscle
Infection

ASJC Scopus subject areas

  • Surgery

Cite this

Free vascularized osteocutaneous fibular graft to the tibia. / Lee, Kwang Suk; Park, Jong Woong.

In: Microsurgery, Vol. 19, No. 3, 25.05.1999, p. 141-147.

Research output: Contribution to journalArticle

Lee, Kwang Suk ; Park, Jong Woong. / Free vascularized osteocutaneous fibular graft to the tibia. In: Microsurgery. 1999 ; Vol. 19, No. 3. pp. 141-147.
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