[Treatment of tibia and femur massive defect with pedicled fibula transposition].
OBJECTIVE
To investigate the repairing result for the massive bony defects of upper and middle tibia and lower femur.


METHODS
Since 1974, four types of pedicled-fibula transposition were performed to repair the massive bone defect of tibia and femur in 25 cases, which included; 9 cases with benign tumor of upper part of tibia were performed muscle-pedicled fibula transposition and knee fusion after tumor resection; 9 cases with extensive benign tumor or tumoroid lesion of tibia shaft were performed muscle-pedicled fibula transposition and tibia-fibula fusion after tumor resection; 2 cases with extensive benign tumor or tumoroid lesion of middle and lower parts of tibia were performed vascular pedicled fibula transposition and tibia-fibula fusion; 5 cases with benign tumor of distal femur were performed vascular pedicled fibula reversal transposition and knee fusion.


RESULTS
After 3 months to 11 years follow-up, 23 cases showed bone healing at 6 months postoperatively. The other 2 cases showed bone healing at 12 months postoperatively. All cases had satisfactory functional rehabilitation.


CONCLUSIONS
Pedicled-fibula transposition is a choice method for repairing massive defects of tibia and femur.
Shi
S S
SS
Department of Orthopedic Surgery, Beijing Army General Hospital, Beijing, P. R. China, 100700.
Xiu
S T
ST
Li
Y F
YF
D000293:Adolescent; D000328:Adult; D001859:Bone Neoplasms / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005266:Femoral Neoplasms / Q000601:surgery; D005360:Fibula / Q000637:transplantation*; D005500:Follow-Up Studies; D018212:Giant Cell Tumor of Bone / Q000601:surgery*; D006801:Humans; D008297:Male; D019637:Orthopedic Procedures; D019651:Plastic Surgery Procedures; D013977:Tibia