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. 2000 Mar;4(1-2):27–30. doi: 10.1155/S1357714X00000050

The Two-Stage Ipsilateral Fibular Transfer for Tibial Defect Following Tumour Excision

Masahito Hatori 1, Khalid S Ayoub 1, Robert J Grimer 1,, Simon R Carter 1, Roger M Tillman 1
PMCID: PMC2408360  PMID: 18521431

Abstract

Method. We performed a two-stage vascularized ipsilateral fibular graft transfer for segmental tibial defect following excision of malignant bone tumours.

Results. We report 10 patients who had this procedure with an average follow-up of 116 months.The graft was transposed medialy on its vascular pedicle by two-stage surgery. Full weight bearing was achieved in six patients at 8–43 months postoperatively, but every patient had a significant complication.

Discussion. The use of this method in isolation is not recommended for reconstruction of the tibia following tumour excision.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Chacha P. B., Ahmed M., Daruwalla J. S. Vascular pedicle graft of the ipsilateral fibula for non-union of the tibia with a large defect. An experimental and clinical study. J Bone Joint Surg Br. 1981 Aug;63-B(2):244–253. doi: 10.1302/0301-620X.63B2.7217150. [DOI] [PubMed] [Google Scholar]
  2. Coleman S. S., Coleman D. A. Congenital pseudarthrosis of the tibia: treatment by transfer of the ipsilateral fibula with vascular pedicle. J Pediatr Orthop. 1994 Mar-Apr;14(2):156–160. doi: 10.1097/01241398-199403000-00005. [DOI] [PubMed] [Google Scholar]
  3. Enneking W. F., Eady J. L., Burchardt H. Autogenous cortical bone grafts in the reconstruction of segmental skeletal defects. J Bone Joint Surg Am. 1980 Oct;62(7):1039–1058. [PubMed] [Google Scholar]
  4. Gebhardt M. C., Lord F. C., Rosenberg A. E., Mankin H. J. The treatment of adamantinoma of the tibia by wide resection and allograft bone transplantation. J Bone Joint Surg Am. 1987 Oct;69(8):1177–1188. [PubMed] [Google Scholar]
  5. Hsu R. W., Wood M. B., Sim F. H., Chao E. Y. Free vascularised fibular grafting for reconstruction after tumour resection. J Bone Joint Surg Br. 1997 Jan;79(1):36–42. doi: 10.1302/0301-620x.79b1.6818. [DOI] [PubMed] [Google Scholar]
  6. Huntington T. W. VI. Case of Bone Transference: Use of a Segment of Fibula to Supply a Defect in the Tibia. Ann Surg. 1905 Feb;41(2):249–251. doi: 10.1097/00000658-190502000-00006. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Mankin H. J., Doppelt S., Tomford W. Clinical experience with allograft implantation. The first ten years. Clin Orthop Relat Res. 1983 Apr;(174):69–86. [PubMed] [Google Scholar]
  8. Ortiz-Cruz E., Gebhardt M. C., Jennings L. C., Springfield D. S., Mankin H. J. The results of transplantation of intercalary allografts after resection of tumors. A long-term follow-up study. J Bone Joint Surg Am. 1997 Jan;79(1):97–106. doi: 10.2106/00004623-199701000-00010. [DOI] [PubMed] [Google Scholar]
  9. Ozaki T., Hillmann A., Wuisman P., Winkelmann W. Reconstruction of tibia by ipsilateral vascularized fibula and allograft. 12 cases with malignant bone tumors. Acta Orthop Scand. 1997 Jun;68(3):298–301. doi: 10.3109/17453679708996706. [DOI] [PubMed] [Google Scholar]
  10. Shapiro M. S., Endrizzi D. P., Cannon R. M., Dick H. M. Treatment of tibial defects and nonunions using ipsilateral vascularized fibular transposition. Clin Orthop Relat Res. 1993 Nov;(296):207–212. [PubMed] [Google Scholar]
  11. Sijbrandij S. Resection and reconstruction for bone tumours. Acta Orthop Scand. 1978 Jun;49(3):249–254. doi: 10.3109/17453677809005760. [DOI] [PubMed] [Google Scholar]
  12. Swierstra B. A., Rijnberg W. J., van Linge B. Reconstruction of the tibia by dual grafting. 3 cases of tumor resection. Acta Orthop Scand. 1990 Jun;61(3):266–268. doi: 10.3109/17453679008993515. [DOI] [PubMed] [Google Scholar]
  13. Takami H., Takahashi S., Ando M., Masuda A. Vascularized fibular grafts for the reconstruction of segmental tibial bone defects. Arch Orthop Trauma Surg. 1997;116(6-7):404–407. doi: 10.1007/BF00434000. [DOI] [PubMed] [Google Scholar]
  14. Taylor G. I., Miller G. D., Ham F. J. The free vascularized bone graft. A clinical extension of microvascular techniques. Plast Reconstr Surg. 1975 May;55(5):533–544. doi: 10.1097/00006534-197505000-00002. [DOI] [PubMed] [Google Scholar]
  15. Yadav S. S. Dual-fibular grafting for massive bone gaps in the lower extremity. J Bone Joint Surg Am. 1990 Apr;72(4):486–494. [PubMed] [Google Scholar]

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