Biological reconstruction of bone defects: The role of the free fibula flap

Journal of Children's Orthopaedics - Tập 5 Số 4 - Trang 241-249 - 2011
Arik Zaretski1, Eyal Gur1, Yehuda Kollander2, Isaac Meller2, Solomon Dadia2
1Microsurgery Unit of the Department of Plastic and Reconstructive Surgery, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, 6 Weizman Street, 64239, Tel Aviv Israel
2National Unit of Orthopedic Oncology, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, 6 Weizman Street, 64239 Tel Aviv, Israel

Tóm tắt

This review describes the kinds of skeletal bone defects in bones which develop through enchondral ossification. It focuses on the biological reconstruction of those defects according to the two main subtypes, intercalary and osteoarticular. We list the causes of bone defects and outline the different types and configurations that result from them. We then review the currently available reconstructive options according to the patient's age and describe the theoretical options as well. Finally, the history, surgical anatomy and clinical use of the free fibula flap will be reviewed. From our own clinical experience and review of the literature, we conclude that biological reconstruction is, in many ways, superior to alloplastic materials, especially in children, adolescents and young adults.

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Journal of Children's Orthopaedics

Tập 5 Số 4

241-249

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