Pedicled Vascularised Fibular Grafting in a Flow-through Manner for Reconstruction of Infected Non-Union of the Tibia with Preservation of the Peroneal Artery: A Case Report

Hattori, Yasunori; Doi, Kazuteru; Sakamoto, Soutetsu; Satbhai, Nilesh G.; Kumar, Kannan Karuppiah

doi:10.1177/230949901502300125

Cited by 4 publications

(3 citation statements)

References 12 publications

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“…Patients with tibial diaphyseal bone defects (n = 826) were treated with NBGs (studies = 44, n = 335), 6–49 BT (studies = 35, n = 298), 6,14,19,23,35,46,49–77 or VBGs (studies = 41, n = 193). 41,60,67,75,78–114…”

Section: Resultsmentioning

confidence: 99%

Treatment of Posttraumatic Tibial Diaphyseal Bone Defects: A Systematic Review and Meta-Analysis

Klifto

Azoury

Klifto

et al. 2022

Journal of Orthopaedic Trauma

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Objective: To describe evidenced-based treatment options for patients who sustained trauma and/or posttraumatic osteomyelitis of the tibia resulting in diaphyseal bone defects and to compare outcomes between patients treated with nonvascularized bone grafts (NBGs), bone transport (BT), or vascularized bone grafts (VBGs).Data Source: The Preferred Reporting Items for Systematic Review and Meta-Analyses of individual participant data and Cochrane guidelines were followed. PubMed, EMBASE, Cochrane Library, Web of Science, Scopus, and CINAHL were searched from inception to June 2020.Study Selection: Patients who were $18 years, had sustained trauma to the tibia resulting in fracture and/or osteomyelitis with measurable diaphyseal bone defects, and were treated by interventions such as NBGs, BT, or VBGs were eligible. Excluded studies were non-English, reviews, nonreviewed literature, cadavers, animals, unavailable full texts, nondiaphyseal defects, atrophic nonunions, malignancy, and replantations.Data Extraction: A total of 108 studies were included with 826 patients. Two reviewers systematically/independently screened titles/ abstracts, followed by full texts to ensure quality, accuracy, and consensus among authors for inclusion/exclusion of studies. A third reviewer addressed disagreements if investigators were unable to reach a consensus. Studies were quality assessed using "Methodological Quality and Synthesis of Case Series and Case Reports".Data Synthesis: Analyses were performed with IBM SPSS version 25.0 (IBM Corporation, Armonk, NY) and G*Power3.1.9.2.Conclusions: NBGs may be considered first line for trauma defect sizes # 10 cm or posttraumatic osteomyelitis defect sizes ,5 cm. BT may be considered first line for posttraumatic osteomyelitis defect sizes ,5 cm. VBGs may be considered first line for trauma and posttraumatic osteomyelitis defect sizes $5 cm.

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Section: Resultsmentioning

confidence: 99%

Treatment of Posttraumatic Tibial Diaphyseal Bone Defects: A Systematic Review and Meta-Analysis

Klifto

Azoury

Klifto

et al. 2022

Journal of Orthopaedic Trauma

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“…This is due to its dimensions, mechanical strength and potential for hypertrophy, as well as its predictable vascular supply which can be pedicled within the ipsilateral limb. [74][75][76] Free vascularised bone grafts are relatively more technically challenging as the procedure involves microsurgical skills for the end-to-end anastomoses of both artery and vein at the recipient site.…”

Section: Vascularised Bone Graftmentioning

confidence: 99%

Current Perspectives on the Management of Bone Fragments in Open Tibial Fractures: New Developments and Future Directions

Farhan-Alanie¹,

Ward²,

Kelly³

et al. 2022

ORR

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“…3). (3) In situ reconstruction with internal fixation; mostly in a staged protocol, using of plate fixation or intramedullary nailing, bone grafting augmentation, utilisation of the induced membrane concept [55,72], or local fibular transfer [73,74] (Fig. 4).…”

Section: Fixation Alternativesmentioning

confidence: 99%

Surgical management of infected non-unions: An update

Kanakaris

Tosounidis

Giannoudis

2015

Injury

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Pedicled Vascularised Fibular Grafting in a Flow-through Manner for Reconstruction of Infected Non-Union of the Tibia with Preservation of the Peroneal Artery: A Case Report

Cited by 4 publications

References 12 publications

Treatment of Posttraumatic Tibial Diaphyseal Bone Defects: A Systematic Review and Meta-Analysis

Treatment of Posttraumatic Tibial Diaphyseal Bone Defects: A Systematic Review and Meta-Analysis

Current Perspectives on the Management of Bone Fragments in Open Tibial Fractures: New Developments and Future Directions

Surgical management of infected non-unions: An update

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