scholarly journals Primena slobodnog vaskularizovanog fibularnog grafta-reznja u lecenju velikih kostanih defekata posle povrede ekstremiteta

2013 ◽  
Vol 60 (2) ◽  
pp. 9-12 ◽  
Author(s):  
Marko Bumbasirevic ◽  
Aleksandar Lesic ◽  
Henry Atkinson ◽  
Goran Tulic
Keyword(s):  
Congenital Anomalies ◽  
Surgical Techniques ◽  
Bone Defects ◽  
Fibular Graft ◽  
Vascularized Fibular Graft ◽  
Anatomical Data ◽  
Skeletal Defects ◽  
Free Vascularized Fibular Graft

Free vascularized fibular graft is of the greatest importance in the orthopaedics and trauma. Bone, skeletal defects due to the trauma, infections and congenital anomalies could be successfully solved by the free vascularized fibular grafts. In this article the main anatomical data of fibular graft, surgical techniques, indications for the FVFG in the treatment of trauma caused bone defects or its complications-sequels are described.

scholarly journals Free vascularized fibular graft in patient with skeletal defect after neurofibroma surgical excision of forearm

2019 ◽  
Vol 7 (3) ◽  
pp. 955
Author(s):  
Satria Pandu Persada Isma ◽  
Agung Riyanto Budi Santoso ◽  
Thomas Erwin Christian Junus Huwae ◽  
Istan Irmansyah Irsan ◽  
Yudhi Purbiantoro
Keyword(s):  
Early Period ◽  
Surgical Excision ◽  
Fibular Graft ◽  
Vascularized Fibular Graft ◽  
Skeletal Defects ◽  
Free Vascularized Fibular Graft ◽  
Manual Testing ◽  
The Right ◽  
Operation Wound

The free vascularized fibular graft has been successfully applied as a reconstruction option in patient with large secondary skeletal defects result from excision of pathologic tissue after neurofibroma surgical excision. It provides a strong cortical strut for reconstruction of defects, so that the free vascularized fibular graft is ideal for ulna reconstruction. A 22-year-old male with lump in his right forearm for 3 months previously which become bigger and more painful. There was also sings of ulnar nerve disfunction. From the CPC result, we diagnosed forearm neurofibroma. We performed wide excision and reconstruction using free vascularized fibular graft. On the last follow up, the active and passive ranges of motion (ROM) of 4th and 5th metacarpal was measured with the help of a goniometer. The ulnar neurological state was tested by manual testing and graded on the Medical research council (MRC) scale. Four weeks after surgery, the operation wound at the right forearm and right lower leg was good and no infection signs. The graft viability was good with compromised vascularity. The post-operative passive and active ROM of the 4th and 5th metacarpal able did full extend. The post-operative sensoris level of the ulnar area improved from pre-operative sensoris level.Post-operative follow-up, in the early period (up to 6 weeks) we monitor the graft viability. Our case reported good result in the operation wound, the graft viability, the passive and active ROM of the 4th and 5th metacarpal and the sensoris level of the ulnar area.

scholarly journals Free Vascularized Fibular Graft With LISS Plate for the Bone Defects of the Femur After Tumor Resection

Hand ◽  
2016 ◽  
Vol 11 (1_suppl) ◽  
pp. 73S-73S
Author(s):  
Young Ho Lee ◽  
Jihyeung Kim ◽  
Seung Hoo Lee ◽  
Jin Woo Park ◽  
Kahyun Kim ◽  
...  
Keyword(s):  
Tumor Resection ◽  
Bone Defects ◽  
Fibular Graft ◽  
Vascularized Fibular Graft ◽  
Free Vascularized Fibular Graft

scholarly journals Free Vascularized Fibular Graft for Congenital Pseudarthrosis Tibia: A Case Series

2021 ◽  
Vol 6 (3) ◽  
pp. 315-321
Author(s):  
Nico Lie ◽  
Anak Agung Gde Yuda Asmara
Keyword(s):  
Bypass Graft ◽  
Case Series ◽  
Bone Defects ◽  
Surgical Approaches ◽  
Fibular Graft ◽  
Vascularized Fibular Graft ◽  
Congenital Pseudarthrosis ◽  
First Case ◽  
Free Vascularized Fibular Graft ◽  
All Diseases

Introduction: Congenital pseudarthrosis tibia (CPT) probably one of the most difficult to treat among all diseases in the children. There are several surgical approaches that have been used to treat CPT including on-lay graft, double on-lay grafts, pedicle grafts, osteotomy, bypass graft and intramedullary rods. Prognosis of CPT has changed considerably with the use of Free Vascularized Fibular Graft (FVFG). Despite these advances, several operations are often necessary to obtain union of CPT and the risk of amputation is never entirely eliminated Case presentation: We presented 2 case with CPT. The first case is a 4 year old girl with CPT-Associated Neurofibromatosis, patient was brought to orthopedic polyclinic complaining bend on her right leg since she was born, the parent also complained her child has abnormality when walking since she was 14 months old. The second case is a 3 year old girl with CPT complaining bend on her right leg, abnormalities and pain when walking since she was aged 1 years 11 months. We performed free vascularized fibular graft for both of the patient. Result: The results in our cases showed bone union in 14 weeks, 16 weeks and 18 weeks respectively. The optimal of technique options should be adapted to the type of pseudarthrosis and especially to the extent of the bone defects. good results can be found with intramedullary nailing with a bone graft or the Ilizarov technique Conclusion: The optimal of technique options should be adapted to the type of pseudarthrosis and especially to the extent of the bone defects Keywords: Congenital pseudarthrosis tibia, Free vascularized fibular graft, case series.

scholarly journals Free Vascularized Fibular Graft Reconstruction of Large Skeletal Defects after Tumor Resection

2009 ◽  
Vol 468 (2) ◽  
pp. 590-598 ◽  
Author(s):  
William C. Eward ◽  
Vasileios Kontogeorgakos ◽  
Lawrence Scott Levin ◽  
Brian E. Brigman
Keyword(s):  
Tumor Resection ◽  
Fibular Graft ◽  
Vascularized Fibular Graft ◽  
Skeletal Defects ◽  
Free Vascularized Fibular Graft ◽  
Graft Reconstruction

Free vascularized fibular graft: A versatile graft for reconstruction of large skeletal defects and revascularization of necrotic bone

Microsurgery ◽  
1992 ◽  
Vol 13 (4) ◽  
pp. 182-187 ◽  
Author(s):  
Konstantinos N. Malizos ◽  
Alexandros E. Beris ◽  
Theodore A. Xenakis ◽  
Anastasios B. Korobilias ◽  
Panayotis N. Soucacos
Keyword(s):  
Fibular Graft ◽  
Necrotic Bone ◽  
Vascularized Fibular Graft ◽  
Skeletal Defects ◽  
Free Vascularized Fibular Graft

Treatment for large skeletal defects by free vascularized fibular graft combined with locking plate

2009 ◽  
Vol 130 (4) ◽  
pp. 473-479 ◽  
Author(s):  
Yuan Sun ◽  
Changqing Zhang ◽  
Dongxu Jin ◽  
Jiagen Sheng ◽  
Xiangguo Cheng ◽  
...  
Keyword(s):  
Locking Plate ◽  
Fibular Graft ◽  
Vascularized Fibular Graft ◽  
Skeletal Defects ◽  
Free Vascularized Fibular Graft

Congenital Pseudarthrosis of the Ulna Treated by Free Vascularized Fibular Graft: A Case Report and Review of Methods of Treatment

1993 ◽  
Vol 18 (3) ◽  
pp. 285-288 ◽  
Author(s):  
E. MASTERSON ◽  
M. J. EARLEY ◽  
M. M. STEPHENS
Keyword(s):  
Case Report ◽  
Surgical Techniques ◽  
Rare Condition ◽  
Fibular Graft ◽  
Forearm Rotation ◽  
Vascularized Fibular Graft ◽  
Congenital Pseudarthrosis ◽  
Skin Island ◽  
Free Vascularized Fibular Graft ◽  
Methods Of Treatment

Congenital pseudarthrosis of the ulna is an extremely rare condition for which current surgical techniques have been unsatisfactory in restoring a normal two-bone forearm. We report a case which was treated by excision of the ulnar pseudarthrosis and interposition of a free vascularized fibular graft with a skin island to monitor anastomotic patency. Forearm rotation has been restored and the potential for normal forearm growth has been preserved.

scholarly journals Reconstruction of large limb bone defects with a double-barrel free vascularized fibular graft

2008 ◽  
Vol 121 (23) ◽  
pp. 2424-2428 ◽  
Author(s):  
Zheng-gang BI ◽  
Xin-guang HAN ◽  
Chun-jiang FU ◽  
Yang CAO ◽  
Cheng-lin YANG
Keyword(s):  
Bone Defects ◽  
Fibular Graft ◽  
Vascularized Fibular Graft ◽  
Limb Bone ◽  
Free Vascularized Fibular Graft
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