Onlay fibular bone grafting in treatment of tibial fracture non-union.
Twenty-nine patients with tibial non-union or delayed union were treated by onlay grafting, using long struts from the ipsilateral fibula and without disturbing the non-union site. Internal fixation and excessive dissection can be avoided. Follow-up in 28 patients showed solid healing in all; 20/28 patients united the fracture within 7 months. Removal of the fibula as a distracting force, combined with the principles of onlay grafting advocated by Phemister, is effective surgical treatment.
D000293:Adolescent; D000328:Adult; D016025:Bone Transplantation; D005260:Female; D005360:Fibula / Q000637:transplantation; D005599:Fractures, Ununited / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D013978:Tibial Fractures / Q000209:etiology / Q000601:surgery*; D014182:Transplantation, Autologous