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01-06-2014 | Review Article

Free vascularised fibular grafts in orthopaedics

Authors: Marko Bumbasirevic, Milan Stevanovic, Vesna Bumbasirevic, Aleksandar Lesic, Henry D. E. Atkinson

Published in: International Orthopaedics | Issue 6/2014

Abstract

Bony defects caused by trauma, tumors, infection or congenital anomalies can present a significant surgical challenge. Free vascularised fibular bone grafts (FVFGs) have proven to be extremely effective in managing larger defects (longer than 6 cm) where other conventional grafts have failed. FVFGs also have a role in the treatment of avascular necrosis (AVN) of the femoral head, failed spinal fusions and complex arthrodeses. Due to the fact that they have their own blood supply, FVFGs are effective even in cases where there is poor vascularity at the recipient site, such as in infection and following radiotherapy. This article discusses the versatility of the FVFG and its successful application to a variety of different pathologies. It also covers the applied anatomy, indications, operative techniques, complications and donor-site morbidity. Though technically challenging and demanding, the FVFG is an extremely useful salvage option and can facilitate limb reconstruction in the most complex of cases.

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Title: Free vascularised fibular grafts in orthopaedics
Authors: Marko Bumbasirevic
Milan Stevanovic
Vesna Bumbasirevic
Aleksandar Lesic
Henry D. E. Atkinson
Publication date: 01-06-2014
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 6/2014
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-014-2281-6

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Free vascularised fibular grafts in orthopaedics

Abstract

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