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Abstract
Between 1979 and 1991 ipsilateral vascularized fibular transposition was performed
on eight patients with segmental tibial defects following injury. We report these
cases with a minimum follow-up of 2.5 years. All the tibial defects were the result
of severe open fractures (Gustilo Grade III) and either bone loss or infected non-union,
and ranged in size from 1 to 12 cm. The patients had an average of seven procedures
and a delay of 33 months before fibular transfer. The procedure was successful in
achieving fracture union in all cases, with an average time to union of 15 months
(range, 5–33 months). Shortening of up to 3 cm and some residual ankle stiffness was
found, but all patients were ambulating bearing full weight and six had returned to
their previous occupation by their final follow-up. Only one patient had significant
pain affecting function. This is a successful and relatively simple technique compared
to microvascular and bone transport procedures for reconstructing segmental tibial
defects with relatively avascular graft beds.
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Article info
Publication history
Accepted:
April 25,
1996
Identification
Copyright
© 1996 Published by Elsevier Inc.
