Effectiveness of free vascularized fibular graft for bone defect after resection of lower limb malignant tumor

To analyze the effectiveness of free vascularized fibula grafts (FVFG) for extensive bone defects after resection of lower limb malignant bone tumors. Between November 2015 and July 2018, 15 cases of lower limb malignant bone tumors were treated. There were 12 males and 3 females with an average age...

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Bibliographic Details
Published in:Zhongguo xiu fu chong jian wai ke za zhi 2019-07, Vol.33 (7), p.850-853
Main Authors: Tan, Lei, Xing, Zhili, Ji, Tao, Guo, Wei
Format: Article
Language:Chinese
Subjects:
Adolescent
Adult
Bone Neoplasms - surgery
Bone Transplantation
Child
Female
Fibula - transplantation
Humans
Lower Extremity
Male
Osteosarcoma - surgery
Tibia
Young Adult
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Summary:To analyze the effectiveness of free vascularized fibula grafts (FVFG) for extensive bone defects after resection of lower limb malignant bone tumors. Between November 2015 and July 2018, 15 cases of lower limb malignant bone tumors were treated. There were 12 males and 3 females with an average age of 12.3 years (range, 9-21 years). There were 11 cases of osteosarcoma and 4 cases of Ewing's sarcoma. The tumor located at middle femur in 8 cases, lower femur in 4 cases, and middle tibia in 3 cases. The disease duration was 2-6 months (mean, 3.2 months). The tumor was completely removed, and the length of the bone defect was 8-23 cm (mean, 17.7 cm). The bone defect was repaired by FVFG, and combined inactivated tumor bone was used in 8 cases of femoral bone defect. The average operation time was 280 minutes (range, 180-390 minutes). The average blood loss was 310 mL (range, 200-480 mL). All incisions healed by first intention. All patients were followed up 2-24 months with an average of 14.5 months. Bone healin
ISSN:1002-1892
DOI:10.7507/1002-1892.201810118