[Free, vascularized, folded fibula transplantation].
A free vascularized folded fibula as possibility for reconstruction of segmental bony defects up to 9 cm is described. Preserving its vascularisation, the fibula is osteotomized and folded into two equal or two vascularized bone transplants of different length with only one arterial and venous pedicle. Folding of the fibula leads to a biomechanically superior stabilisation. This technique was used in a posttraumatic osteomyelitic defect of the tibia after a Pilon tibiale fracture.
Eren
S
S
Klinik für Verbrennungs- und Plastische Wiederherstellungschirurgie, Medizinischen Fakultät, RWTH Aachen.
Klein
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W
Paar
O
O
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D016025:Bone Transplantation / Q000379:methods* / Q000473:pathology; D016267:External Fixators; D005360:Fibula / Q000293:injuries* / Q000473:pathology / Q000637:transplantation; D005593:Fracture Fixation, Internal; D017102:Fracture Healing / Q000502:physiology; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000601:surgery*; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods; D009104:Multiple Trauma / Q000000981:diagnostic imaging / Q000601:surgery*; D010019:Osteomyelitis / Q000000981:diagnostic imaging / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D012086:Reoperation; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*
Die freie, vaskularisierte, gefaltete Fibulatransplantation.