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[Vascularized fibula transfer. A review].

R Hierner1, W Stock, M B Wood

  • 1Plastische Chirurgie, Ludwig-Maximilians-Universität München.

Der Unfallchirurg
|March 1, 1992
PubMed
Summary

Vascularized fibula transfer is a standard technique for reconstructing large bone defects from trauma or tumors. Careful infection control and surgical planning are crucial for successful healing and minimizing complications.

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Posttraumatic lower extremity reconstruction by vascularized bone graft transfer.

Orthopedics·2014

Area of Science:

  • Orthopedic Surgery
  • Microsurgery
  • Bone Reconstruction

Context:

  • Vascularized fibula transfer has become a standard technique for specific indications.
  • Increasing attention in German-speaking countries over the last 5 years.
  • Successfully reconstructs large segmental bone defects (>5-8 cm).

Purpose:

  • To review the indications, technique, and outcomes of vascularized fibula transfer.
  • To highlight critical factors for successful bone graft healing.
  • To discuss its application in various bone defect etiologies.

Summary:

  • Vascularized fibula transfer effectively reconstructs large bone defects due to trauma, tumors, pseudarthrosis, or congenital anomalies.
  • It is less successful for osteomyelitis, requiring prior infection control.
  • Vascularized iliac crest transfer is an alternative for smaller defects (<10 cm).
  • Key factors for rapid healing include infection eradication, soft tissue coverage, precise planning, and rigid internal fixation.

Impact:

  • Establishes vascularized fibula transfer as a primary treatment for femur and upper extremity defects.
  • Emphasizes the importance of preoperative planning to reduce complications in high-energy trauma.
  • Rigid internal fixation ensures rapid healing and prevents malalignment.

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