title: Ipsilateral fibula transport for the treatment of massive tibial bone defects.
abstract: OBJECTIVE
  The objective of the study was to evaluate the effectiveness of the treatment of massive tibial bone defects by ipsilateral fibula transport.
  
  
  METHODS
  Nine patients with massive tibial bone defects were retrospectively reviewed. There were 7 males and 2 females with an average age of 32.22 years. The mean length of bone defect was 15.67cm (range 13-25cm).
  
  
  RESULTS
  All patients were followed up and the mean time of follow up was 40.11 months (range 26-60 months). All the patients achieved bone union and the average external fixation time was 11.67 months (range 9-14 months). The mean degrees of knee extension were 2.2°(range 0-5°) and the mean degrees of knee flexion were 131.7° (range 120-140°). The mean degrees of ankle dorsiflexion were 8.9° (range 0-15°) and the mean degrees of ankle plantar flexion were 30° (range 20-40°).
  
  
  CONCLUSIONS
  Our study suggested that ipsilateral fibula transport in the treatment of massive tibial bone defects acquired satisfying functional results. It may be a better choice for the patients without suitable proximal or distal tibia remnant to transport.
authors: Department of Orthopaedics, Chinese PLA General Hospital, No. 28 Fuxin Road, Beijing 100853, PR China; Medical College, Nankai University, No. 94 Weijin Road, Tianjin 300071, PR China.
authors: Peng
authors: P
authors: Yin
authors: Department of Orthopaedics, Chinese PLA General Hospital, No. 28 Fuxin Road, Beijing 100853, PR China.
authors: Lihai
authors: L
authors: Zhang
authors: Department of Orthopaedics, Chinese PLA General Hospital, No. 28 Fuxin Road, Beijing 100853, PR China; Medical College, Nankai University, No. 94 Weijin Road, Tianjin 300071, PR China.
authors: Tongtong
authors: T
authors: Li
authors: Department of Orthopaedics, Chinese PLA General Hospital, No. 28 Fuxin Road, Beijing 100853, PR China.
authors: Yong
authors: Y
authors: Xie
authors: Department of Orthopaedics, Chinese PLA General Hospital, No. 28 Fuxin Road, Beijing 100853, PR China.
authors: Jiantao
authors: J
authors: Li
authors: Department of Orthopaedics, Chinese PLA General Hospital, No. 28 Fuxin Road, Beijing 100853, PR China.
authors: Zhirui
authors: Z
authors: Li
authors: Department of Orthopaedics, Chinese PLA General Hospital, No. 28 Fuxin Road, Beijing 100853, PR China.
authors: Jianheng
authors: J
authors: Liu
authors: Department of Orthopaedics, Chinese PLA General Hospital, No. 28 Fuxin Road, Beijing 100853, PR China.
authors: Lining
authors: L
authors: Zhang
authors: Department of Orthopaedics, Chinese PLA General Hospital, No. 28 Fuxin Road, Beijing 100853, PR China. Electronic address: zhangqun301@sina.com.
authors: Qun
authors: Q
authors: Zhang
authors: Department of Orthopaedics, Chinese PLA General Hospital, No. 28 Fuxin Road, Beijing 100853, PR China. Electronic address: pftang301@sina.cn.
authors: Peifu
authors: P
authors: Tang
mesh_terms: D000328:Adult; D016025:Bone Transplantation / Q000379:methods*; D002681:China / Q000453:epidemiology; D016267:External Fixators; D005260:Female; D005360:Fibula / Q000637:transplantation*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D013978:Tibial Fractures / Q000473:pathology / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome
keywords: Fibula transport; Ipsilateral; Massive; Tibial bone defects