Pedicled vascularised fibular grafting in a flow-through manner for reconstruction of infected non-union of the tibia with preservation of the peroneal artery: a case report.
We report on an 82-year-old man with an infected non-union of the right tibia in which the peroneal artery was the sole artery supplying the lower leg, owing to peripheral arterial disease. He underwent tibial reconstruction using the pedicled vascularised fibular graft in a flow-through manner (without ligation of either the proximal or distal ends of the peroneal artery) and achieved successful bony union.
Department of Orthopedic Surgery, Ogori Daiichi General Hospital, Yamaguchi, Japan.
Yasunori
Y
Hattori
Kazuteru
K
Doi
Soutetsu
S
Sakamoto
Nilesh
N
Satbhai
Kannan Karuppiah
KK
Kumar
D000369:Aged, 80 and over; D016025:Bone Transplantation; D005360:Fibula / Q000098:blood supply / Q000637:transplantation*; D005599:Fractures, Ununited / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D058729:Peripheral Arterial Disease / Q000150:complications; D013524:Surgical Flaps / Q000098:blood supply; D013978:Tibial Fractures / Q000150:complications / Q000601:surgery*
anastomosis, surgical; fibula; surgical flaps; tibia