CONGENITAL PSEUDOARTHROSIS OF THE TIBIA - TREATMENT BY TRANSFER OF THE IPSILATERAL FIBULA WITH VASCULAR PEDICLE

被引：54

作者：

COLEMAN, SS

COLEMAN, DA

机构：

[1] Department of Orthopaedic Surgery, University of Utah, Shriners Hospital, Salt Lake City, UT

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1994年 / 14卷 / 02期

关键词：

CONGENITAL TIBIAL PSEUDOARTHROSIS; NEUROFIBROMATOSIS; VASCULARIZED FIBULA TRANSFER;

D O I：

10.1097/01241398-199403000-00005

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 performed five transfers of the ipsilateral fibula in the treatment of congenital pseudarthrosis of the tibia. In all cases, conventional treatment by intramedullary-rod and autogenous-iliac bone grafting had failed at least once. We hoped to avoid the use of contralateral-fibular grafting or other methods that have not yet been proven effective. The ipsilateral fibula was transferred, and its vascular pedicle left intact and secured to both fragments of the tibial pseudarthrosis by cerclage wires. All five transfers have united and hypertrophied with growth. We believe this salvage method is superior to others not only because of the successful results, but also because the intact limb is left undisturbed.

引用

页码：156 / 160

页数：5

共 4 条

[1]

Manaster B.J., Coleman D.A., Bell D.A., Magnetic resonance imaging of vascular anatomy before vascularized fibular grafting, J Bone Joint Surg [Am], 72, pp. 409-414, (1990)

[2]

Umber J.S., Moss S.W., Coleman S.S., Surgical treatment of congenital pseudarthrosis of the tibia, Clin Orthop, 166, pp. 28-33, (1982)

[3]

Weiland A.J., Weiss A.-P., Moore J.R., Tolo V., Vascularized fibular grafts in the treatment of congenital pseudarthrosis of the tibia, J Bone Joint Surg [Am], 72, pp. 654-662, (1990)

[4]

Williams P.F., Fragmentation and rodding in osteogenesis imperfecta, J Bone Joint Surg [Am], 47, pp. 23-31, (1965)

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