title: Rigid bridging of massive femur defect using double vascularized fibula graft with hydroxyapatite.
abstract: The presence of large and massive segmental defects of the diaphyseal bone following tumor resection is a significant problem for orthopedic surgeons. Double or folded free vascularized fibula graft (FVFG) is used in massive femur defects and is considered to be a reliable reconstructive procedure. However, folded or double fibula grafts cannot prevent stress fractures. Here, a novel surgical procedure for bridging of massive femur defects using double FVFG and hydroxyapatite with autogenous bone grafts to prevent stress fractures is reported.
authors: Department of Artificial Joints and Biomaterials, Graduate School of Biomedical Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, Japan. tomatsuo@hiroshima-u.ac.jp
authors: Toshihiro
authors: T
authors: Matsuo
authors: Takashi
authors: T
authors: Sugita
authors: Shoji
authors: S
authors: Shimose
authors: Tadahiko
authors: T
authors: Kubo
authors: Toru
authors: T
authors: Sunagawa
authors: Yuji
authors: Y
authors: Yasunaga
authors: Mitsuo
authors: M
authors: Ochi
mesh_terms: D000293:Adolescent; D001672:Biocompatible Materials / Q000627:therapeutic use*; D017886:Durapatite / Q000627:therapeutic use*; D005260:Female; D005266:Femoral Neoplasms / Q000601:surgery*; D005360:Fibula / Q000098:blood supply / Q000293:injuries / Q000637:transplantation*; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000209:etiology / Q000601:surgery; D006801:Humans; D007085:Ilium / Q000637:transplantation; D012516:Osteosarcoma / Q000601:surgery; D014182:Transplantation, Autologous; D014945:Wound Healing
chemical_list: D001672:Biocompatible Materials; D017886:Durapatite