Limb conservation using non vascularised fibular grafts.
This paper highlights the use of non-vascularised fibular graft in limb reconstruction from bone loss due to trauma and infection. Bone loss can occur from severe high velocity injuries due to road traffic accidents, severe neglected infections, and osteolytic tumours. In majority of cases, the surgeon is left with the only option of an amputation especially where there is no access to microvascular surgery and microvascular bone grafting devices. This is a major problem in the West African subregion hence the need for this article. We present illustrative cases of limb conservation in an adult involved in a high velocity trauma and a child with a destructive osteolytic infection culminating in bone loss. The patients are still been followed up in our surgical outpatient clinics.
Omololu
B
B
College of Medicine, University of Ibadan, Nigeria. badelolu@skannet.com
Ogunlade
S O
SO
Alonge
T O
TO
D000063:Accidents, Traffic; D000328:Adult; D000671:Amputation, Surgical; D003646:Debridement; D005360:Fibula / Q000637:transplantation*; D017102:Fracture Healing; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D009549:Nigeria; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome; D014458:Ulna Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*