The two-stage ipsilateral fibular transfer for tibial defect following tumour excision.
Method. We performed a two-stage vascularized ipsilateral fibular graft transfer for segmental tibial defect following excision of malignant bone tumours.Results. We report 10 patients who had this procedure with an average follow-up of 116 months.The graft was transposed medialy on its vascular pedicle by two-stage surgery. Full weight bearing was achieved in six patients at 8-43 months postoperatively, but every patient had a significant complication.Discussion. The use of this method in isolation is not recommended for reconstruction of the tibia following tumour excision.
The Royal Orthopaedic Hospital Oncology Service The Royal Orthopaedic Hospital Birmingham UK.
M
M
Hatori
K S
KS
Ayoub
R J
RJ
Grimer
S R
SR
Carter
R M
RM
Tillman