The “Double Barrel” Free Vascularized Fibular Bone Graft

Swartz, William M.; Mears, Dana C.; Jupiter, Jesse B.; Grossman, Allen

doi:10.1097/00006534-198803000-00011

Cited by 239 publications

(110 citation statements)

References 0 publications

Supporting

Mentioning

103

Contrasting

Unclassified

Order By: Relevance

“…It can also be difficult to achieve solid bony fixation between the fibula and the small residual epiphyseal bone segment after an intercalary juxta-articular resection around the knee. 4,5 This is particularly important in the growing child if the growth plate is resected and a limb-length discrepancy is anticipated. 6 In 1993 Capanna, Bufalini and Campanacci 7 described the combined use of an allograft shell and a free vascularised fibular graft for intercalary reconstruction of the lower limb.…”

mentioning

confidence: 99%

Biological reconstruction after resection of bone tumours around the knee

Abed

Beltrami²,

Campanacci³

et al. 2009

The Journal of Bone and Joint Surgery. British volume

View full text Add to dashboard Cite

We reviewed 25 patients who had undergone resection of a primary bone sarcoma which extended to within 5 cm of the knee with reconstruction by a combination of a free vascularised fibular graft and a massive allograft bone shell. The distal femur was affected in four patients and the proximal tibia in 21. Their mean age at the time of operation was 19.7 years (5 to 52) and the mean follow-up period 140 months (28 to 213). Three vascularised transfers failed. The mean time to union of the fibula was 5.6 months (3 to 10) and of the allograft 19.6 months (10 to 34). Full weight-bearing was allowed at a mean of 21.4 months (14 to 36). The mean functional score at final follow-up was 27.4 (18 to 30) using a modfied 30-point Musculoskeletal Tumour Society rating system. The overall limb-salvage rate was 88%. The results of our study suggest that the combined use of a vascularised fibular graft and allograft is of value as a limb-salvage procedure for intercalary reconstruction after resection of bone tumours around the knee, especially in skeletally immature patients.

show abstract

mentioning

confidence: 99%

Biological reconstruction after resection of bone tumours around the knee

Abed

Beltrami²,

Campanacci³

et al. 2009

The Journal of Bone and Joint Surgery. British volume

View full text Add to dashboard Cite

show abstract

“…As shown in the cases presented, a vascularized graft can correct and stabilize a spinal deformity (cases 1, 2, 3) and has resistance to infection (case 7). In addition, an osteotomy of the fibular graft can be performed, leaving the periosteum with vessels intact and functional [18,19,34]. In this way, the graft can be inserted as multiply folded strut grafts (cases 1, 3, 6) or fashioned to follow the spinal curvature (case 4).…”

Section: Discussionmentioning

confidence: 99%

“…In four cases the fibular graft was osteotomized subperiostally to adapt the graft to its hostbed. This technique does not interrupt the blood supply of the bone parts as long as the periosteum and the vessels are intact [18,19,34]. In five of eight cases technetium bone scans were performed within a month after operation (cases 1, 3, 4, 5, 6).…”

Section: Casementioning

confidence: 99%

Free vascularized bone graft in spinal surgery: indications and outcome in eight cases

Wuisman¹,

Jiya²,

Dijk³

et al. 1999

European Spine Journal

View full text Add to dashboard Cite

“…The use of vascularized fibular graft in reconstructive surgery of the upper extremity was introduced at the end of the 1970s, 40 and for a long time its application in posttraumatic reconstruction of the forearm was limited to a small number of isolated clinical cases. 31,41,42,43,44,45 In 1984, Dell and Sheppard described its use in the treatment of infected pseudoarthrosis of the forearm, and reported on 4 cases. 46 It was not until 1991 that a significant series was reported in the literature; 47 some other papers were recently published on this subject.…”

Section: Vascularized Fibular Graftmentioning

confidence: 99%