Plasty of extensive defects of long bones with vascularized peroneal grafts

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Abstract

The experience in treatment of 130 patients with vast long bone defects using microsurgical plasty with vascularized fibular autogtarfts is generalized. The defects mainly resulted from severe open mechanical and gunshot injuries as well as congenital pseudoarthroses. Long term results were evaluated in 102 patients in terms from 2 to 15 years. Good results were achieved in 89.2%) of patients. In treatment of congenital pseudoarthroses no failed outcomes were detected, while the use of routine method of bone plasty gave up to 80% of unsatisfactory results.

 

About the authors

I. T. Grishin

Central Institute of Traumatology and Orthopedics. N.N. Priorova

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow

V. T. Golubev

Central Institute of Traumatology and Orthopedics. N.N. Priorova

Email: info@eco-vector.com
Russian Federation, Moscow

M. M. Kroshkin

Central Institute of Traumatology and Orthopedics. N.N. Priorova

Email: info@eco-vector.com
Russian Federation, Moscow

D. R. Bogdashevsky

Central Institute of Traumatology and Orthopedics. N.N. Priorova

Email: info@eco-vector.com
Russian Federation, Moscow

V. V. Golubev

Central Institute of Traumatology and Orthopedics. N.N. Priorova

Email: info@eco-vector.com
Russian Federation, Moscow

V. N. Polotnyanko

Central Institute of Traumatology and Orthopedics. N.N. Priorova

Email: info@eco-vector.com
Russian Federation, Moscow

References

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2. Rice. Fig. 1. Stages of adaptive restructuring of a vascularized autograft from the fibula through recurrent stress fractures during the replacement of an extensive defect of the tibia after tumor removal.

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3. Rice. 2. Radiographs of the lower leg of a patient with a congenital false joint. a — before autoplasty; b — 7 months after autoplasty with a vascularized graft from the diaphysis of the fibula; c — 10 years later: the size and shape of the tibia were restored.

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4. Rice. 3. Patient A., diagnosis: giant cell tumor of the distal metaepiphysis of the left radius. a — radiographs before surgery; b - scheme of the operation; c, d — radiographs and functional result after 1.5 years.

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