Corrective valgus osteotomy after free vascularized fibula transfer for the treatment of osteomyelitis at the neck of the femur: case report.
Reconstruction using a free vascularized fibula was performed on a long bony defect after osteomyelitis of the proximal femur. For this type of bone defect, a double-barrel fibular graft is recommended. The authors used this procedure for a 58-year-old male who had osteomyelitis of the left proximal femur. As osteotomy through a transplanted fibula can be safely performed, abduction osteotomy should be considered when coxa vara remains after reconstruction with a free vascularized fibula transfer.
Nakamasu
Masakazu
M
Department of Orthopedic Surgery, Hiroshima University School of Medicine, Hiroshima, Japan.
Ishida
Osamu
O
Ichikawa
Makoto
M
Yasunaga
Yuji
Y
Ikuta
Yoshikazu
Y
Ochi
Mitsuo
M
D005272:Femur Neck; D005360:Fibula / Q000637:transplantation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000009:adverse effects; D010019:Osteomyelitis / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply*; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000209:etiology / Q000601:surgery*