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Ipsilateral fibula transport for the treatment of massive tibial bone defects
Peng Yin1, Lihai Zhang2, Tongtong Li1
1Department of Orthopaedics, Chinese PLA General Hospital, No. 28 Fuxin Road, Beijing 100853, PR China; Medical College, Nankai University, No. 94 Weijin Road, Tianjin 300071, PR China.
Objective:
The objective of the study was to evaluate the effectiveness of the treatment of massive tibial bone defects by ipsilateral fibula transport.
Materials And Methods:
Nine patients with massive tibial bone defects were retrospectively reviewed. There were 7 males and 2 females with an average age of 32.22 years. The mean length of bone defect was 15.67cm (range 13-25cm).
Results:
All patients were followed up and the mean time of follow up was 40.11 months (range 26-60 months). All the patients achieved bone union and the average external fixation time was 11.67 months (range 9-14 months). The mean degrees of knee extension were 2.2°(range 0-5°) and the mean degrees of knee flexion were 131.7° (range 120-140°). The mean degrees of ankle dorsiflexion were 8.9° (range 0-15°) and the mean degrees of ankle plantar flexion were 30° (range 20-40°).
Conclusion:
Our study suggested that ipsilateral fibula transport in the treatment of massive tibial bone defects acquired satisfying functional results. It may be a better choice for the patients without suitable proximal or distal tibia remnant to transport.
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