Reverse-flow vascularized fibular graft: a new method.
The reverse-flow island flap is a relatively recent concept. We have applied this concept to the vascularized bone graft. We report a new method of the reverse-flow vascularized fibular graft for two patients with a pseudarthrosis and massive bone defect of the tibia. The peroneal artery and venae comitantes were severed proximally and elevated with the fibula while maintaining distal vascular continuity. The reverse-flow vascularized fibula was grafted to the posterior aspect of the bone defect of the tibia. Bony union was obtained in both cases. The reverse-flow vascularized fibular graft has many advantages compared with free vascularized fibular graft.
Minami
A
A
Department of Orthopaedic Surgery, Hokkaido University School of Medicine, Sapporo, Japan.
Itoga
H
H
Suzuki
K
K
D000328:Adult; D005260:Female; D005360:Fibula / Q000098:blood supply / Q000637:transplantation*; D006801:Humans; D007223:Infant; D008722:Methods; D011542:Pseudarthrosis / Q000601:surgery*; D013524:Surgical Flaps; D013977:Tibia / Q000002:abnormalities / Q000098:blood supply / Q000601:surgery; D013978:Tibial Fractures / Q000601:surgery