CONGENITAL PSEUDARTHROSIS OF THE TIBIA - TREATMENT WITH FREE VASCULARIZED FIBULAR GRAFTS

被引：48

作者：

DORMANS, JP

KRAJBICH, JI

ZUKER, R

DEMUYNK, M

机构：

[1] The Lutheran Hospital of Indiana, Fort Wayne, IN

[2] Hospital for Sick Children, Toronto, ON

[3] St. Lucas Hospital, Assebroek

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1990年 / 10卷 / 05期

关键词：

Congenital pseudarthrosis of the tibia; Microvascular anastomosis; Neurofibromatosis; Stable internal fixation; Vascularized fibula transfer;

D O I：

10.1097/01241398-199009000-00010

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 used free vascularized fibula transfers to treat 12 patients with congenital pseudarthrosis of the tibia. The mean age at surgery was 6.5 years, and the average follow-up was 3.4 years. Only one patient had persistent nonunion at the time of last follow-up, but he had 2.2 operations after the initial vascularized procedure. Problems included delayed union at the distal anastomosis and refracture. Union can be achieved in most patients, but attention to technical detail is very important. All angulation must be corrected and, at the first sign of delayed union, the site should be regrafted and intramedullary fixation should be used. © 1990 Raven Press, Ltd., New York.

引用

页码：623 / 628

页数：6

共 21 条

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