[Reconstruction of extensive post-traumatic femoral defects by autogenous rib transplants]

Extended deficiency pseudarthroses of the femur (7-18 cm) in nine patients were treated by autogenous rib transplantation. For early active pain-free mobilization we used the technique of bridging plate osteosynthesis for stable internal fixation. Within an average of 5 (range 4-7) months osseous restitution was obvious radiologically. In all nine patients the full weight-bearing capacity of the extremity was restored. There were no soft tissue problems and no bone transplant losses. All patients appreciated the uncomplicated postoperative phase after internal fixation with bridging plate osteosynthesis.