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Archives of Orthopaedic and Trauma Surgery

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01-04-2010 | Orthopaedic Surgery

Treatment for large skeletal defects by free vascularized fibular graft combined with locking plate

Authors: Yuan Sun, Changqing Zhang, Dongxu Jin, Jiagen Sheng, Xiangguo Cheng, Bingfang Zeng

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 4/2010

Abstract

Background

Reconstruction of large skeletal defects secondary to osteomyelitis or open fracture is a challenging problem. The purpose of this study was to evaluate the results of using free vascularized fibular graft (FVFG) combined with locking plate in the treatment of large skeletal defects from open fracture and infection.

Methods

Ten patients with a mean age of 34 years (ranged 13–57 years) and a mean length of 8.7 cm (range 6–17 cm) skeletal defect were treated with FVFG and locking plate. The mean follow-up time was 26 months.

Results

Grafting union occurred in all patients, with a mean healing time of 4.5 months. No recurrence of osteomyelitis and stress fractures was observed. The mean time to full weight-bearing was 10 months, and all patients were pain-free and able to walk without supportive devices.

Conclusions

FVFG combined with locking plate is a viable option for the management of large skeletal defects from open fracture and infection.

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Title: Treatment for large skeletal defects by free vascularized fibular graft combined with locking plate
Authors: Yuan Sun
Changqing Zhang
Dongxu Jin
Jiagen Sheng
Xiangguo Cheng
Bingfang Zeng
Publication date: 01-04-2010
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 4/2010
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-009-0898-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Treatment for large skeletal defects by free vascularized fibular graft combined with locking plate

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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