Complications of fibular bone grafting at donor site

Abstract

Introduction: Prospective study to determine donor site complications after autogenous fibular graft for different surgical procedures. Complications following iliac crest grafting have been studied extensively in the past but literature for complications of fibular grafting is still lacking. Material and Methods:The study was performed at tertiary care centre after taking necessary approval from institutional ethics committee. Thirty donor sites in thirty patients were followed up for minimum one year. Patients were followed up at 3 months, 6 months, and 9 months and at the end of one year. Vascularized as well as non-vascularized grafting patients were included in the study. Results: Thirty patients including 21 men (70%) and 9 (30%) women were included in the study. The most common indication for taking graft was post traumatic defect. The most common complication was pain and overall complication rate at the end of 1 year was 13.33%. Conclusion: On the basis of our clinical observations, we are convinced that obtaining vascularised or non-vascularised fibular grafts is associated with a small but demonstrable clinical morbidity related to altered fibular function and localized motor weakness. The dissection and preservation of tissue and structures must be meticulous to minimise the chance of donor site complications.

Postoperative analysis of a free fibular graft due to bone failure caused by a metatarsal bone tumor

“…Maraskolhe et al (12) demonstram as complicações após retirada de enxerto fibular no sítio doador em seguimentos de 3, 6, 9 e 12 meses -na avaliação inicial de 3 meses 37% dos pacientes apresentaram dor local e 13% com infecção superficial, sendo que no seguimento final de 12 meses apenas 10% dos pacientes apresentavam dor local, sem demais sintomas. Já estudos anteriores, como Lee et al (13) , avaliaram 10 pacientes, sendo que 2 apresentaram complicações pós-operatórias precoces -paralisia do nervo poplíteo lateral.…”

Comparision of non-vascularized fibular graft as an intramedullary strut v/s conventional bone grafting for management of nonunion of long bones

“…Amongst all autogenous bone grafts, fibular bone graft is an ideal graft in many circumstances because the vascular inflow can be maintained if needed. A fibular bone graft has excellent strength because of its cortico-cancellous structure [9] . Fibular graft acts as a reliable biological implant for revascularization and its trephine shape adds to the rotational stability.…”