Open AccessTransposition of the fibula on the supplying vascular pedicle for plasty of defects in the distal femur
Author(s) -
A. Davis,
В Г Голубев
Publication year - 2022
Publication title -
vestnik travmatologii i ortopedii imeni n.n. priorova
Language(s) - English
Resource type - Journals
eISSN - 2658-6738
pISSN - 0869-8678
DOI - 10.17816/vto99806
Subject(s) - fibula , transposition (logic) , medicine , femur , surgery , great arteries , anatomy , tibia , heart disease , cardiology , linguistics , philosophy
After preliminary experimental study the bone plasty with vascularised fibular graft was performed to 9 patients with distal femur defects from 1 to 18 cm. Taking into account the advantages and shortcoming of the procedure several variants for transposition of vascularised fibular grafts were elaborated. They included gradual lengthening of vascular pedicle, use of doubled fibular graft to increase the mechanical strength. In all patients the restoration of weight-bearing ability of the limb was achieved by 1 year after surgery.