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Residual functional deficit after partial fibulectomy for bone graft
1Department of Orthopaedic Surgery, Vanderbilt Hospital, Nashville, Tennessee.
Clinical Orthopaedics and Related Research
|June 1, 1991
Summary
Partial fibulectomy for bone grafts can cause mild donor leg symptoms. However, these functional deficits are generally not severe enough to prevent fibular segment transplantation.
Area of Science:
- Orthopedic Surgery
- Bone Grafting
- Microsurgery
Background:
- Fibulectomy is a common source of autologous bone for grafting.
- Assessing the functional impact on the donor leg is crucial for patient outcomes.
Purpose of the Study:
- To document the residual functional deficit after partial fibulectomy for bone graft harvesting.
- To evaluate the clinical significance of donor leg symptoms.
Main Methods:
- Subjective assessment, clinical examination, and instrumented evaluation were used.
- Ten patients undergoing partial fibulectomy for bone grafting were studied.
Main Results:
- The donor leg frequently exhibited mild residual symptoms.
- Weakness was more pronounced when the middle third of the fibula was removed.
- Mild discomfort, weakness, and laxity were observed but deemed not prohibitive.
Conclusions:
- While mild functional deficits can occur after fibulectomy, they do not typically contraindicate large segment fibular transplantation.
- Postoperative rehabilitation focusing on muscular strengthening is recommended to mitigate functional deficits.