title: Failure of hypertrophy in revascularised fibula grafts due to stress protection.
abstract: 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.
authors.affiliation: Department of Plastic, Reconstructive and Hand Surgery, Academic Medical Centre, Amsterdam, The Netherlands.
authors.forename: K E
authors.initials: KE
authors.lastname: Bos
authors.forename: P P
authors.initials: PP
authors.lastname: Besselaar
authors.forename: L W
authors.initials: LW
authors.lastname: vd Eijken
authors.forename: E L
authors.initials: EL
authors.lastname: Raaymakers
mesh_terms: 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