Vascularized fibula transfer for lower limb reconstruction
Φόρτωση...
Ημερομηνία
Τίτλος Εφημερίδας
Περιοδικό ISSN
Τίτλος τόμου
Εκδότης
Περίληψη
Τύπος
Είδος δημοσίευσης σε συνέδριο
Είδος περιοδικού
peer-reviewed
Είδος εκπαιδευτικού υλικού
Όνομα συνεδρίου
Όνομα περιοδικού
Microsurgery
Όνομα βιβλίου
Σειρά βιβλίου
Έκδοση βιβλίου
Συμπληρωματικός/δευτερεύων τίτλος
Περιγραφή
Massive bony defects of the lower extremity are usually the result of high-energy trauma, tumor resection, or severe sepsis. Vascularized fibular grafts are useful in the reconstruction of large skeletal defects, especially in cases of scarred and avascular recipient sites, or in patients with combined bone and soft-tissue defects. Microvascular free fibula transfer is considered the most suitable autograft for reconstruction of the middle tibia because of its long cylindrical straight shape, mechanical strength, predictable vascular pedicle, and hypertrophy potential. The ability to fold the free fibula into two segments or to combine it with massive allografts is a useful technique for reconstruction of massive bone defects of the femur or proximal tibia. It can also be transferred with skin, fascia, or muscle as a composite flap. Proximal epiphyseal fibula transfer has the potential for longitudinal growth and can be used in the hip joint remodeling procedures. Complications can be minimized by careful preoperative planning of the procedure, meticulous intraoperative microsurgical techniques, and strict postoperative rehabilitation protocols. This literature review highlights the different surgical techniques, indications, results, factors influencing the outcome, and major complications of free vascularized fibular graft for management of skeletal or composite defects of the lower limb.
Περιγραφή
Λέξεις-κλειδιά
Bone Neoplasms/surgery, Bone Transplantation/adverse effects/*methods, Femur/injuries/pathology/surgery, Fibula/*transplantation, *Free Tissue Flaps, Humans, Lower Extremity/*injuries/pathology/*surgery, Microsurgery/adverse effects/methods, Osteomyelitis/surgery, Pseudarthrosis/congenital/surgery, Reconstructive Surgical Procedures/adverse effects/*methods, Sarcoma/surgery, Tibia/injuries/pathology/surgery, Wounds and Injuries/surgery
Θεματική κατηγορία
Παραπομπή
Σύνδεσμος
http://www.ncbi.nlm.nih.gov/pubmed/21360586
http://onlinelibrary.wiley.com/store/10.1002/micr.20841/asset/20841_ftp.pdf?v=1&t=h0mctqqq&s=0db27cd57eb7caa376e84239339e71985c73b39b
http://onlinelibrary.wiley.com/store/10.1002/micr.20841/asset/20841_ftp.pdf?v=1&t=h0mctqqq&s=0db27cd57eb7caa376e84239339e71985c73b39b
Γλώσσα
en
Εκδίδον τμήμα/τομέας
Όνομα επιβλέποντος
Εξεταστική επιτροπή
Γενική Περιγραφή / Σχόλια
Ίδρυμα και Σχολή/Τμήμα του υποβάλλοντος
Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής