Abstract
Objective To discuss clinical efficacy of free vagcularized fibular graft(FVFG)combined with a locking plate for treatment of large bone defects. Methods From January 2005 to May 2007,FVFG combined with locking fixation was employed to treat 2 large femoral defects and 8 tibial ones.The history of bone defect lasted from 6 to 96(mean,27.9)months. Results All patients were followed up for an average of 14.4(range,4 to 30)months.Solid bone union was achieved in all the fractures,with a mean healing time of4.5(range,4 to 6)months.No loosening or breakage of the implants occurred in this series. Conclusion FVFG combined with locking fixation can be used effectively to treat large bone defects at the femur and tibia. Key words: Plate; Bone graft; Bone defect
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