Title: Study on use of Nonvascularized Autologous Fibular Strut Graft with Autologous Cancellous Bone Graft for Treating Segmental Bone Defects of Upper Limb
Authors: Dr Kosuri Krishna Karthik, Dr B. Raviteja, Dr M. Pardhasaradhi
DOI: https://dx.doi.org/10.18535/jmscr/v7i3.17
Abstract
Introduction: Non vascularized fibula strut graft provides a reliable means of treating pathologic conditions with segmental bone loss in developing countries where vascularized bone transfers, bone transport, allogenic bone grafts, bone graft substitutes and other such facilities or expertise may not be readily available.
Materials and Methods: Over a period of two years 12 patients with segmental bone loss either from trauma, deformity, nonunion or oncologic resection was included in the study.
Result: we observed uptake of graft, infection rate, union. Union is achieved in 8 patients. Non union in 3 patients with humeral defects and in 1 patient due to infection. All the forearm defects achieved union with a average grip strength of 82% in relation to contralateral limb.
Conclusion: Autologous free, non-vascularized fibula is a useful addition in developing countries attempting to manage segmental bone loss
Keywords: Fibular graft, Nonunion, Nerve injury.
References
- Taylor GI, Milller GD, Ham FJ. The free vascularised bone:A clinical extension of microvascular techniques. Plast Reconstr Surg 1975;55:533-44.
- Finkemier CG. Bone grafting and bone graft substitutes.J Bone Joint Surg Am 2002;84-A:454-64.
- Dell PC, Burchardt H, Glowsczewski FP Jr. Aroentegenographic, biomechanical and histological evaluation of vascularised and non-vascularised segmental fibula canine autografts. J bone Joint SurgAm 1985;67-A:105-12.
- Enneking WF, Gearen PF. Fibrous dysplasia of the femoralneck: Treatment by cortical bone grafting. J Bone Joint Surg Am 1986;68:1415-22.
- George B, Abudu A, Grimer RJ, Carter SR, Tilman RM. The treatment of benign lesions of the proximal femur with non-vascularised autologous fibular strut grafts. J Bone Joint Surg Br 2008;90:648-51.
- Springfield D. Autograft reconstructions. Orthop Clin North Am 1996;27:483-92.
- De Boer HH, Wood MB. Bone changes in the vascularised fibula graft. J Bone Joint Surg Br 1989;71B:374-8.