Title: Use of Fibular Strut Graft for Reconstruction of Bone Defects

Authors: Dr Nehal Kumar, Dr A. K. Mahto

 DOI: https://dx.doi.org/10.18535/jmscr/v12i03.08

Abstract

  

Introduction

  • Bone recalcitrant nonunion and bone defects usually follow trauma, resection of a malignant tumor of the musculoskeletal system and osteomyelitis.
  • Instead of amputation, which was used in the past, limb salvage surgeries, including non-vascularized or vascularized autografts and allografts, bone transport and replacement with prostheses are performed.
  • Among the above methods, non-vascularized autogenous bone graft use is an important treatment strategy that has been performed for over a hundred years.
  • The fibula is a tubular bone that has a suitable length, geometrical shape and mechanical strength and is considered to be the best donor bone for large bone defects.
  • Free vascularized fibular grafts achieve higher union rate than non-vascularized fibular grafts in the reconstruction of long bone defects.
  • In this study, 6 patients with bone defects treated by non-vascularized fibular grafts .We intended to assess the clinical outcomes of graft union, functional outcome.

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