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- Title
Tratamentul fracturilor complexe de tibie cu lambou fibular dedublat vascularizat transferat microchirurgical.
- Authors
PETREC, Alin; ZAMFIRESCU, Dragoş; CIUPAN, Robert; CRISTESCU, Ioan; LUPESCU, Olivera; POPESCU, Gheorghe; NANESCU, Ciprian; PETRAŞCU, Elena; LASCĂR, Ioan
- Abstract
Aim. Segmental bone defects of the tibia after high-energy trauma are limb-threatening conditions. Multiple treatment options have been proposed, including nonvascularized bone grafts, vascularized bone transfers, and callus distraction. A series of 4 patients with major segmental defects of the tibia treated with vascularized bone reconstruction is presented. Methods. Four chronic segmental bone defects of the tibia, 5 cm or more in length, were included in the series. Reconstruction was performed with double barrel free vascularised fibular graft by a surgical team of orthopaedics and plastic surgeons. Bone fixation was performed with screws and external fixation, with early conversion to locking plate internal fixation. Results. They were not any case of graft lost or infection. Bone healing occurred in all cases. Stress fractures did not occurred. Time to bone union was 5 to 8 months, and time to full weight bearing was 4 to 6 months. Conclusions. The use of vascularized bone transfer in the treatment of major segmental tibial defects was successful in the present series. The management of bone fixation in these cases is discussed. INSET: 93.
- Subjects
TIBIA injuries; BONE injuries; TRANSPLANTATION of organs, tissues, etc.; BONE surgery; ORTHOPEDIC implants; THERAPEUTICS
- Publication
Romanian Journal of Medical Practice, 2014, Vol 9, Issue 3, p189
- ISSN
1842-8258
- Publication type
Article