AI Article Synopsis
- Three cases of long bone nonunion with bone loss or infection were treated using free vascularized bone transplants instead of conventional bone grafts, which likely would not have succeeded.
- The surgeries involved techniques using composite rib grafts and proximal fibula grafts, each with unique challenges at both the donor and recipient sites, as well as during vessel connections.
- All patients achieved solid bony union in under four months, allowing for early rehabilitation and improved limb function.
Article Abstract
Three cases with nonunion of long bones and problems of bone loss or infection, when conventional bone graft would probably not have been successful, were treated successfully by free vascularized bone transplant to provide a vascular bed in the nonunion site and internal splint, the donor bone being the composite rib graft based on posterior intercostal vessels and proximal fibula based on its peroneal vascular pedicle. The operative technique was divided into five stages, and each stage posed different problems at the donor and recipient areas and vessel anastomoses. Despite these disadvantages, all three cases proceeded to solid bony union in less than 4 months after surgery. Thus the patients were able to be rehabilitated early to retain satisfactory limb function within a relatively short period of time.
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| http://dx.doi.org/10.1097/00005373-198304000-00013 | DOI Listing |
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