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THE JOURNAL OF BONE AND JOINT SURGERY FREE VASCULARISED FIBULAR GRAFTING FOR RECONSTRUCTION AFTER TUMOUR RESECTION 37 A positive index value conrms hypertrophy and a negative value represents graft atrophy. In addition, because free vascularized fibular grafting replaces dead bone at the hip with viable, structurally sound, vascularized bone from the fibula, the procedure can halt the progression of osteonecrosis and restore the bone to its previous state of health. Conclusion: Free vascularized fibular grafting appears to be a reliable and effective method for reconstructing bone defects and soft tissue defects in a single session in open tibia fractures. Key words: Free vascularized fibula graft; open fracture; reconstruction. A free vascularised fibular graft is a viable option for the management of large skeletal defects resulting from osteomyelitis. limited. Moreover, in infected defects, scarring of the softtissue envelope compromises revascularisation of the graft [14]. A free vascularized bula graft is an excellent option for the reconstruction of a large femoral head defect after chondroblastoma resection. Free vascularized fibular grafts for reconstruction of skeletal defects. J Am Acad Orthop Surg 2004 Sep-Oct;12(5):360-9. Arai K, Toh S, Tsubo K, Nishikawa S, Narita S, Miura H. Complications of vascularized fibula graft for reconstruction of long bones. The free vascularized fibular graft (FVFG) transfer was first reported in 1975 by Taylor et al.9 Vascularized autografts retain their biologic and mechanical properties, heal by primary union with ingrowth to the adjoining bone... The authors present two cases in which an intramedullary free vascularized fibular graft combined with pasteurized autologous bone graft was performed for immediate femur or tibia reconstruction following osteosarcoma resection. MPS 48 Reconstruction Using a Free Vascularized Fibular Graft after Frozen Autograft Reconstruction for Osteosarcoma of the Distal Tibia: A Case Report Figure 2. Tumor excision and subsequent frozen autograft reconstruction. As a result, vascularized fibula have shown excellent long-term durability.2,9,15 ■ In summary, a free fibular graft provides a durable true biologic reconstruction with accommodative and regeneration capabilities and has minimal short- and long-term... Информация взята v3.kz |
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