Abstract
Method. We performed a two-stage vascularized ipsilateral fibular graft transfer for segmental tibial defect following excision of malignant bone tumours. Results. We report 10 patients who had this procedure with an average follow-up of 116 months.The graft was transposed medialy on its vascular pedicle by two-stage surgery. Full weight bearing was achieved in six patients at 8–43 months postoperatively, but every patient had a significant complication. Discussion. The use of this method in isolation is not recommended for reconstruction of the tibia following tumour excision.
Highlights
One of the most difficult problems confronting the orthopaedic surgeon is the reconstruction of large bone defects following resection of tumours, arising in the tibial shaft
We report our experience of using two-stage ipsilateral ® bular graft transfer as a method of tibial reconstruction following wide excision of malignant tumours arising in the shaft
Three patients developed non-union.These were treated by internal ® xation and secondary bone grafting resulting to full union and incorporation of the graft with the tibia.The other two patients had early belowknee amputations before reaching the stage of complete union
Summary
One of the most difficult problems confronting the orthopaedic surgeon is the reconstruction of large bone defects following resection of tumours, arising in the tibial shaft. We report our experience of using two-stage ipsilateral ® bular graft transfer as a method of tibial reconstruction following wide excision of malignant tumours arising in the shaft
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