RECONSTRUCTION OF LARGE SKELETAL DEFECTS BY VASCULARIZED FIBULA TRANSFER - FACTORS THAT INFLUENCED THE OUTCOME OF UNION IN 62 CASES

被引：75

作者：

DEBOER, HH ^{[1
]}

WOOD, MB ^{[1
]}

HERMANS, J ^{[1
]}

机构：

[1] DE WEVER HOSP,DEPT ORTHOPAED SURG,HEERLEN,NETHERLANDS

来源：

INTERNATIONAL ORTHOPAEDICS | 1990年 / 14卷 / 02期

关键词：

D O I：

10.1007/BF00180115

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We have studied the results of reconstruction of a large skeletal defect using a vascularized fibula graft in 62 consecutive cases. We were particularly interested in factors that may significantly influence the outcome of union. In at least 90% of cases, eventual union can be expected in the reconstruction of large skeletal defects resulting from tumour resection, traumatic bone loss, or non-union. The results of reconstruction for osteomyelitis were less favorable. Statistical analysis of the influences of bone graft polarity, internal fixation, additional bone graft material, and the length of the graft on the outcome of union revealed that the use of stable fixation and additional bone graft material significantly enhanced bone union, whereas the length or polarity of the graft had no influence. © 1990 Springer-Verlag.

引用

页码：121 / 128

页数：8

共 28 条

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