• Department of Orthopedic Surgery;;
  • Beijing Army General Hospital. Beijing;;
  • P.R.China;;
  • 100700. E mail:lyf98@glc.cn.net;;
Pedicled fibula transposition; Repair; Tibial defect; Femoral defect
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OBJECTIVE: To investigate the repairing result for the massive bony defects of upper and middle tibia and lower femur. METHODS: Since 1974, four types of pedicled-fibula transposition were performed to repair the massive bone defect of tibia and femur in 25 cases, which included; 9 cases with benign tumor of upper part of tibia were performed muscle-pedicled fibula transposition and knee fusion after tumor resection; 9 cases with extensive benign tumor or tumoroid lesion of tibia shaft were performed muscle-pedicled fibula transposition and tibia-fibula fusion after tumor resection; 2 cases with extensive benign tumor or tumoroid lesion of middle and lower parts of tibia were performed vascular pedicled fibula transposition and tibia-fibula fusion; 5 cases with benign tumor of distal femur were performed vascular pedicled fibula reversal transposition and knee fusion. RESULTS: After 3 months to 11 years follow-up, 23 cases showed bone healing at 6 months postoperatively. The other 2 cases showed bone healing at 12 months postoperatively. All cases had satisfactory functional rehabilitation. CONCLUSION: Pedicled-fibula transposition is a choice method for repairing massive defects of tibia and femur.

Citation： SHI Shu shan,XIU Shao ting,LI Ya fei,et al.. TREATMENT OF TIBIA AND FEMUR MASSIVE DEFECT WITH PEDICLED FIBULA TRANSPOSITION. Chinese Journal of Reparative and Reconstructive Surgery, 2000, 14(3): 156-158. doi: Copy

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