Romania
Case Report
Free Vascularized Fibular Bone Graft, a Reliable Method for the Management of Large Skeletal Defects in Orthopaedic Trauma
Author(s): Alexa O, Pertea M, Bogdan Puha, Popescu D, Gheorghevici S and Veliceasa BAlexa O, Pertea M, Bogdan Puha, Popescu D, Gheorghevici S and Veliceasa B
Introduction: Free vascularized fibular bone grafts have become the most commonly used free vascularized bone grafts used to treat large post-traumatic defects caused by high-energy trauma, as well as large post-traumatic nonunions.
Material and methods: We present two high energy trauma cases: a traumatic amputation of the forearm – 22C3 open Gustilo-Anderson type IIIC (case 1) with a 10 cm residual radial shaft defect and a paragliding accident resulting in a 43C3 open Gustilo-Anderson type IIIB (case 2) with a residual tibial shaft defect of 8 cm. The residual defect was treated in both cases with an osteoseptocutaneous free vascularized fibular bone graft. The follow-up was performed at 3 weeks, 3 months, 6 months, 1 year and 3 years. The bone graft showed radiological signs of integration at 3 months in both cases. The three-year fo.. Read More»
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