title: Early complication following long bone reconstruction using vascularised fibula graft.
abstract: Long bone reconstruction using vascularized fibula graft is becoming more popular despite the difficulties and its post-operative complications. We reviewed our early experience dealing with vascularized fibula graft for the management of massive long bone defect. Thirteen patients had undergone long bone reconstruction using vascularized fibula graft. Early complications that had been encountered include superficial wound infection (23%), transient common peroneal nerve palsy (23%), stage 1 bed sore (7.7%), anastomotic venous thrombosis (30.8%), DIVC (15.4%), flap loss and amputation (7.7%), and reactive psychiatric problem (7.7%). The early complications following this procedure are comparable with other major orthopaedic surgery and most of them are minor and treatable. The complication rates are also comparable with similar surgery done elsewhere.
authors.affiliation: Department of Orthopaedics, School of Medical Science, Universiti Sains Malaysia, Kubang Kerian, Kelantan.
authors.forename: Y
authors.initials: Y
authors.lastname: Imran
authors.forename: W
authors.initials: W
authors.lastname: Zulmi
authors.forename: A S
authors.initials: AS
authors.lastname: Halim
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001847:Bone Diseases / Q000601:surgery; D016025:Bone Transplantation; D002648:Child; D002675:Child, Preschool; D005269:Femur / Q000601:surgery; D005360:Fibula / Q000098:blood supply / Q000637:transplantation*; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D006811:Humerus / Q000601:surgery; D008875:Middle Aged; D011183:Postoperative Complications; D011884:Radius / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D013524:Surgical Flaps; D013977:Tibia / Q000601:surgery; D016896:Treatment Outcome; D014457:Ulna / Q000601:surgery