Free vascularized fibular grafts for reconstruction of skeletal defects
Nourished by the peroneal vessels, the versatile free vascularized fibular graft can be transferred to reconstruct skeletal defects of the extremities. It may be combined with skin, fascia, muscle, and growth-plate tissue to address the needs of the recipient site. It may be cut transversely and fol...
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| Published in | Journal of the American Academy of Orthopaedic Surgeons Vol. 12; no. 5; p. 360 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
01.09.2004
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| Subjects | |
| Online Access | Get more information |
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| Abstract | Nourished by the peroneal vessels, the versatile free vascularized fibular graft can be transferred to reconstruct skeletal defects of the extremities. It may be combined with skin, fascia, muscle, and growth-plate tissue to address the needs of the recipient site. It may be cut transversely and folded to reconstruct the length and width of tibial or femoral defects. The main indications for this graft are defects larger than 5 to 6 cm or with poor vascularity of the surrounding soft tissues. Detailed preoperative planning, experience in microvascular techniques, and careful postoperative follow-up are necessary to minimize complications and improve outcome. The free vascularized fibular graft has been successfully applied as a reconstruction option in patients with traumatic or septic skeletal defect, after tumor resection, and has shown promise in patients with congenital pseudarthrosis. |
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| AbstractList | Nourished by the peroneal vessels, the versatile free vascularized fibular graft can be transferred to reconstruct skeletal defects of the extremities. It may be combined with skin, fascia, muscle, and growth-plate tissue to address the needs of the recipient site. It may be cut transversely and folded to reconstruct the length and width of tibial or femoral defects. The main indications for this graft are defects larger than 5 to 6 cm or with poor vascularity of the surrounding soft tissues. Detailed preoperative planning, experience in microvascular techniques, and careful postoperative follow-up are necessary to minimize complications and improve outcome. The free vascularized fibular graft has been successfully applied as a reconstruction option in patients with traumatic or septic skeletal defect, after tumor resection, and has shown promise in patients with congenital pseudarthrosis. |
| Author | Malizos, Konstantinos N Soucacos, Panayotis N Beris, Alexandros E Zalavras, Charalampos G Urbaniak, James R |
| Author_xml | – sequence: 1 givenname: Konstantinos N surname: Malizos fullname: Malizos, Konstantinos N organization: Department of Orthopaedic Surgery, University of Thessalia Medical School, 22 Papakiriazi Street, 41222 Larissa, Greece – sequence: 2 givenname: Charalampos G surname: Zalavras fullname: Zalavras, Charalampos G – sequence: 3 givenname: Panayotis N surname: Soucacos fullname: Soucacos, Panayotis N – sequence: 4 givenname: Alexandros E surname: Beris fullname: Beris, Alexandros E – sequence: 5 givenname: James R surname: Urbaniak fullname: Urbaniak, James R |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/15469230$$D View this record in MEDLINE/PubMed |
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| SubjectTerms | Bone Neoplasms - surgery Bone Transplantation - methods Fibula - transplantation Humans Leg Injuries - surgery Postoperative Complications Pseudarthrosis - surgery Reconstructive Surgical Procedures - methods |
| Title | Free vascularized fibular grafts for reconstruction of skeletal defects |
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