J Korean Surgery Hand Soc Search

CLOSE


Journal of the Korean Society for Surgery of the Hand 2000;9(1):27-36.
Published online May 31, 2000.
A Clinical Study of Free Vascularized Osteocutaneous Fibular Transplantation in Infected Nonunion of Tibia
Joon-Min Song, M.D., Jin-Ill Kim, M.D., Jong-Suk Park. M.D., Hee Kwon, M.D., Jae-Eung Yoo, M.D., Soo-Kyoon Rah. M.D. Chang-Uk Choi, M.D.,
감염성 경골 불유합에 시행한 혈관 부착 유리 피부편 및 생비골 이식 수술의 임상적 고찰
송준민·김진일·권희·유재응·박종석·나수균·최창욱
Abstract

  February 1995 to September 1999, authors have experienced seven cases of infected nonunion of tibial fractures with associated soft tissue injury and skin defect, and have accomplished union in all cases by free vascularized fibular graft.

  All grafts healed with no radiographic evidence of bone necrosis or resorption and have been able to treat large bony defect and skin defect simultaneously.

  In this study, five cases of vascularized free fibular osteocutaneous flap transfer and two cases of free fibular graft are reported.

  All of seven cases were infected nonunion of tibia.
  The results were obtained as follows
  1) The mean duration of the radiologic bone union was average 5.3months.
  2) Grafted fibular has been hypertrophied, average 10.6 months.

  3) In five cases of preservation of posterior cortex of tibia, bony union and hypertrophy of grafted bone were earlier than that two cases of complete segmental resection of tibia.
  4) In two cases which only free vascularized fibular graft were performed because achievement of cutaneous flap was failed, authors found that soft tissue defect was filled with granulation tissue and split-thickness skin graft was possible over the granulation tissue after 3 weeks posto peratively.

  

Key Words: Nonunion, Tibia, Vascularized fibular transplantation
 


About
Article and topics
Article category

Browse all articles >

Topics

Browse all articles >

Browse articles
Editorial policies
For contributors
Editorial Office
St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, 93 Ji-dong, Paldal-gu, Suwon 16247, Korea
Tel: +82-31-249-7186    Fax: +82-31-254-7186    E-mail: journal@handmicro.org                

Copyright © 2024 by Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve.

Developed in M2PI

Close layer
prev next