A new reconstructive technique for intercalary defects of long bones: the association of massive allograft with vascularized fibular autograft. Long-term results and comparison with alternative techniques.
In 1988, the excellent results obtained with the use of vascularized fibular autograft as a salvage procedure in massive allograft failures caused by non-union or massive resorption prompted a trial of an original reconstructive technique for intercalary defects based on the primary combination of the two types of graft. The authors believe the excellent final results and the ability to avoid further salvage surgical procedures justify the primary application of this more complicated technique despite longer surgical times.
Capanna
Rodolfo
R
Department of Orthopaedic Oncology, Azienda Ospedaliera-Universitaria Careggi, Largo Palagi 1, Firenze 50139, Italy. capannar@ao-careggi.toscana.it
Campanacci
Domenico A
DA
Belot
Nicolas
N
Beltrami
Giovanni
G
Manfrini
Marco
M
Innocenti
Marco
M
Ceruso
Massimo
M
D001862:Bone Resorption / Q000000981:diagnostic imaging / Q000601:surgery*; D016025:Bone Transplantation / Q000379:methods*; D005269:Femur / Q000601:surgery*; D005360:Fibula / Q000098:blood supply* / Q000637:transplantation*; D005500:Follow-Up Studies; D006801:Humans; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D013977:Tibia / Q000601:surgery*; D013997:Time Factors; D014182:Transplantation, Autologous; D016896:Treatment Outcome