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A Modified Approach for Harvesting Non Vascularized Fibular Graft for Pediatric Age Group
1Dr Quazi Shahid-ul Alam, Assistant Professor of Paediatric Orthopaedics, Dhaka Medical College (DMC), Dhaka, Bangladesh;
This study introduces a modified fibular bone graft harvesting technique, reducing donor site morbidity and scarring. The improved method offers a safer, easier alternative for orthopedic procedures.
Area of Science:
- Orthopedic Surgery
- Bone Grafting Techniques
Background:
- Conventional fibular grafting causes significant donor site morbidity and long scars.
- Minimally invasive techniques are needed to reduce complications.
Purpose of the Study:
- To evaluate a modified fibular harvesting technique.
- To assess its safety, ease of use, and impact on donor site morbidity.
Main Methods:
- Prospective study of 30 patients (age 8-14 years).
- Fibular graft harvested via two small incisions (1 cm each).
- Periosteum elevated circumferentially; compression bandage and plaster immobilization used.
Main Results:
- Mean follow-up of 12 months.
- 29 out of 30 patients showed good clinical and radiological results.
- One patient experienced delayed wound healing (fair result).
Conclusions:
- The modified fibular harvesting technique significantly reduces donor site morbidity.
- This approach is safer and easier than conventional methods.
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