Table 1.
Patient demographics
| Overall | FVFG | MT | p value | |
|---|---|---|---|---|
| N | 43 | 18 | 25 | |
| Age (y) (mean ± SD) | 42.07 ± 8.95 | 39.22 ± 7.98 | 44.12 ± 9.20 | 0.076 |
| Sex | 0.564 | |||
| Male | 24 | 11 (61.1%) | 13 (52.0%) | |
| Female | 19 | 7 (38.9%) | 12 (48%) | |
| BMI (kg/m2) (mean ± SD) | 24.86 ± 2.18 | 25.16 ± 1.70 | 24.64 ± 2.48 | 0.444 |
| Mechanism of injury | 0.565 | |||
| Machine injury | 22 | 9 (50%) | 13 (52%) | |
| Smashed by heavy weight | 10 | 3 (16.7%) | 7 (28.0%) | |
| Traffic accident | 11 | 6 (33.3%) | 5 (20%) | |
| Gustilo type | 0.936 | |||
| IIIA | 9 | 3 (16.7%) | 6 (24%) | |
| IIIB | 27 | 13 (72.2%) | 14 (56%) | |
| IIIC | 7 | 2 (11.1%) | 5 (20.0%) | |
| Bone defect site | 0.835 | |||
| Radius | 14 | 6 (33.3%) | 8 (32.0%) | |
| Ulna | 21 | 9 (50%) | 12 (48%) | |
| Radius + ulna | 8 | 3 (16.7%) | 5 (20%) | |
| Defect size (cm) (mean ± SD) | 4.84 ± 1.26 | 5.23 ± 1.18 | 4.56 ± 1.27 | 0.085 |
| Defect type | 0.115 | |||
| D3(A) | 10 | 2 (11.1%) | 8 (32.0%) | |
| D3(B) | 33 | 16 (88.9%) | 17 (68%) | |
| D3(C) | 0 | 0 | 0 | |
| Initial fixation | 0.019* | |||
| External fixation | 22 | 13 (72.2%) | 9 (36%) | |
| Internal fixation | 21 | 5 (27.8%) | 16 (64%) | |
| Wound coverage | 0.852 | |||
| Direct closure | 7 | 3 (16.7%) | 4 (16%) | |
| Skin graft | 17 | 7 (38.9%) | 10 (40%) | |
| Local flap | 4 | 1 (5.6%) | 3 (12%) | |
| Free flap | 15 | 7 (38.9%) | 8 (32%) | |
| Duration of wound coverage (days) (mean ± SD) | 7.49 ± 3.02 | 9.28 ± 3.29 | 6.20 ± 2.04 | 0.000* |
| Bone defect reconstruction operation time (min) (mean ± SD) | 190.70 ± 97.75 | 284.44 ± 82.55 | 123.20 ± 23.58 | 0.000* |
| Hospital length of stay for bone defect reconstruction (days) (mean ± SD) | 10.72 ± 2.38 | 12.67 ± 1.81 | 9.32 ± 1.65 | 0.000* |
| Bone defect reconstruction hemorrhage (ml) | 154.65 ± 73.04 | 219.44 ± 54.61 | 108.00 ± 42.52 | 0.000* |
| Operation time | 3.79 ± 0.77 | 3.50 ± 0.62 | 4.00 ± 8.16 | 0.035* |
| Comorbidity | ||||
| Hypertension | 5 | 2 (11.1%) | 3 (12%) | 0.931 |
| Diabetes | 4 | 2 (11.1%) | 2 (8%) | 0.736 |
| Smoking | 8 | 4 (22.2%) | 4 (16.0%) | 0.615 |
FVFG free vascularized fibular grafts, MT Masquelet technique