Failure of hypertrophy in revascularised fibula grafts due to stress protection.
Three cases of long bone reconstruction with vascularised fibula grafts are described. Hypertrophy of the graft did not occur after a follow-up of 3-5 years. Three different kinds of stress shielding appeared to prevent transformation of the graft.
Bos
K E
KE
Department of Plastic, Reconstructive and Hand Surgery, Academic Medical Centre, Amsterdam, The Netherlands.
Besselaar
P P
PP
vd Eijken
L W
LW
Raaymakers
E L
EL
D000293:Adolescent; D000328:Adult; D000564:Ameloblastoma / Q000000981:diagnostic imaging / Q000601:surgery*; D001174:Arthrodesis; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D016267:External Fixators; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005360:Fibula / Q000637:transplantation*; D005500:Follow-Up Studies; D018460:Fractures, Comminuted / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D006811:Humerus / Q000000981:diagnostic imaging / Q000601:surgery*; D006984:Hypertrophy; D008297:Male; D019919:Prosthesis Implantation; D011859:Radiography; D013314:Stress, Mechanical; D013524:Surgical Flaps; D013977:Tibia / Q000601:surgery*; D013997:Time Factors