Erschienen in:
01.03.2010 | Original Paper
Free vascularised fibular grafting in the treatment of large skeletal defects due to osteomyelitis
verfasst von:
Yuan Sun, Changqing Zhang, Dongxu Jin, Jiagen Sheng, Xiangguo Cheng, Xudong Liu, Shengbao Chen, Bingfang Zeng
Erschienen in:
International Orthopaedics
|
Ausgabe 3/2010
Einloggen, um Zugang zu erhalten
Abstract
Treatment of skeletal defects secondary to osteomyelitis is a challenging problem. The purpose of this study was to present our experience of the use of free vascularised fibular grafts to treat such defects. Ten patients with a mean age of 31 years (range 16–50 years) and a skeletal defect with a mean length of 9.5 cm (range 6–17 cm) were managed with a protocol which included radical debridement of the lesion and a vascularised fibular graft. The mean follow-up time was 26 months. Union of the graft occurred in all patients, at a mean of 4.5 months. No recurrence of osteomyelitis was observed. The mean time to full weight bearing was ten months, and all patients were pain-free and able to walk without supportive devices. A free vascularised fibular graft is a viable option for the management of large skeletal defects resulting from osteomyelitis.