A gastrocnemius-pedicled femoral bone graft in resection arthrodesis at the knee.
We describe a new method of reconstruction after resection of tumours of the proximal tibia by grafting and arthrodesis of the knee. Two separate vascularised bone grafts from the ipsilateral limb were used, one a gastrocnemius-pedicled femoral graft and the other a pedicled fibular graft. An anatomical study of the gastrocnemius-pedicled femoral graft was made. The method was shown to be practical and reproducible. One patient with osteosarcoma has a successful result with no recurrence at two-and-a-half years.
Pho
R W
RW
Department of Orthopaedic Surgery, National University of Singapore, Singapore General Hospital.
Patterson
M H
MH
Satku
K
K
D000328:Adult; D001174:Arthrodesis / Q000379:methods*; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D016025:Bone Transplantation; D005269:Femur / Q000601:surgery; D005360:Fibula / Q000601:surgery; D018219:Histiocytoma, Benign Fibrous / Q000601:surgery; D006801:Humans; D007719:Knee Joint / Q000601:surgery; D008297:Male; D009132:Muscles / Q000637:transplantation; D011182:Postoperative Care; D011859:Radiography; D013977:Tibia / Q000000981:diagnostic imaging / Q000601:surgery; D014182:Transplantation, Autologous / Q000379:methods