Reverse-flow vascularized fibular graft: A new method
β Scribed by Dr. Akio Minami; Hideya Itoga; Katsunori Suzuki
- Book ID
- 102508681
- Publisher
- John Wiley and Sons
- Year
- 1990
- Tongue
- English
- Weight
- 380 KB
- Volume
- 11
- Category
- Article
- ISSN
- 0738-1085
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β¦ Synopsis
Abstract
The reverseβflow island flap is a relatively recent concept. We have applied this concept to the vascularized bone graft. We report a new method of the reverseβflow vascularized fibular graft for two patients with a pseudarthrosis and massive bone defect of the tibia. The peroneal artery and venae comitantes were severed proximally and elevated with the fibula while maintaining distal vascular continuity. The reverseβflow vascularized fibula was grafted to the posterior aspect of the bone defect of the tibia. Bony union was obtained in both cases. The reverseβflow vascularized fibular graft has many advantages compared with free vascularized fibular graft.
π SIMILAR VOLUMES
We report a case of a 7-year-old girl in whom a vascularized fibular head with preserved epiphyseal and metaphyseal blood supply was used to reconstruct the missing lateral mal-leolus. Two-year follow-up showed good bony stability and growth potential of the transplanted epiphyseal plate.