title: Use of the ipsilateral vascularised fibula for tibial reconstruction.
abstract: Between 1989 and 1994 we used a vascularised ipsilateral fibular graft in 24 patients with segmental tibial defects. We report 12 patients with a minimum follow-up of two years. The graft was either transposed medially or inverted on its vascular pedicle. Full weight-bearing was achieved at between four and seven months. We had few complications and consider that the use of this method is a valuable option in reconstruction of the tibia.
authors.affiliation: Department of Orthopaedic Surgery, University of Berne, Inselspital, Switzerland.
authors.forename: R
authors.initials: R
authors.lastname: Hertel
authors.forename: M
authors.initials: M
authors.lastname: Pisan
authors.forename: R P
authors.initials: RP
authors.lastname: Jakob
mesh_terms: D000328:Adult; D001847:Bone Diseases / Q000209:etiology; D016025:Bone Transplantation / Q000009:adverse effects / Q000379:methods; D004434:Early Ambulation; D005260:Female; D005360:Fibula / Q000098:blood supply / Q000637:transplantation*; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012039:Regional Blood Flow; D012086:Reoperation; D013977:Tibia / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome