Related Experiment Videos
Tibial reconstruction by ipsilateral vascularized fibular transfer
M Z Khan1, N D Downing, A P Henry
1Department of Orthopaedic Surgery, Derbyshire Royal Infirmary NHS Trust, Derby, UK.
Injury
|November 1, 1996
Summary
Ipsilateral vascularized fibular transposition successfully treated segmental tibial defects in eight patients. This surgical technique achieved fracture union and functional ambulation, offering a simpler alternative for complex bone defects.
Area of Science:
- Orthopedic Surgery
- Trauma Reconstruction
- Limb Salvage Surgery
Background:
- Segmental tibial defects often result from severe open fractures (Gustilo Grade III), leading to bone loss or infected non-union.
- Reconstruction of these defects presents a significant challenge, frequently requiring multiple procedures and long recovery times.
Purpose of the Study:
- To evaluate the efficacy of ipsilateral vascularized fibular transposition for treating segmental tibial defects.
- To assess the outcomes and functional recovery in patients undergoing this reconstructive procedure.
Main Methods:
- Eight patients with segmental tibial defects underwent ipsilateral vascularized fibular transposition between 1979 and 1991.
- The study included patients with defects ranging from 1 to 12 cm, often following severe trauma and prior failed interventions.
Main Results:
- All eight patients achieved fracture union, with an average time to union of 15 months.
- Despite some residual ankle stiffness and minor shortening, all patients could bear full weight, and six returned to their previous occupations.
Conclusions:
- Ipsilateral vascularized fibular transposition is a successful and relatively straightforward technique for reconstructing segmental tibial defects.
- This method provides a viable alternative to more complex procedures like microvascular surgery or bone transport, especially in avascular bone environments.