Summary
Since the first report on successful clinical use of free microvascular bone grafts by Taylor, numerous applications for this procedure have been devised. This paper presents a detailed description and illustration of the anatomy and the different surgical steps in the dissection of the fibula for free microvascular transfer. The possible advantages of vascularized fibular grafts compared to conventional procedures and the time length for healing under different conditions are discussed.
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References
Baudet J, Lemaire JM, Verhulst J, Nascimento E, Fontaine H, Tramond P (1978) La transplantation de segments ostéopériostés par microchirurgie vasculaire. Rev Chir Orthop 64:311
Campbell's Operative Orthopaedics (1963) Crenshaw AH (ed) 4th edn, vol 1. Mosby Co, St Louis
Chen CW, Yu ZJ, Wang Y (1979) A new method of treatment of congenital tibial pseudarthrosis using free vascularised fibular graft. A preliminary report. Ann Acad Med Singapore 8:465
Enneking WF, Eady JL, Burchardt H (1980) Autogenous cortical bone grafts in the reconstruction of segmental skeletal defects. J Bone Joint Surg [Am] 62:1039
Gilbert A (1979) Vascularized transfer of the fibular shaft. Int J Microsurg 1:100
Hu CT, Chang CW, Su KL, Shen CC, Shen S (1979) Free vascularised bone graft using microvascular technique. Ann Acad Med Singapore 8:459
Judet J, Gilbert A, Judet H, Servant JM, Menard M (1978) Apport de la microchirurgie à la chirurgie osseuse. Chirurgie 104:921
Millesi H, Piza-Katzer H (1978) Freie Transplantation einer Fibula mit Epiphyse. Handchirurgie 10:115
Tamai S, Sakamoto H, Hori Y, Tatsumi Y, Nakamura Y, Shimizu T, Fukui A (1980) Vascularized fibula transplantation: a report of 8 cases in the treatment of traumatic bony defect or pseudarthrosis of long bones. Int J Microsurg 2:205
Taylor GI, Miller GDH, Ham FJ (1975) The free vascularized bone graft, a clinical extension of microvascular techniques. Plast Reconstr Surg 55:533
Taylor GI (1977) Microvascular free bone transfer. Orthop Clin North Am 8:425
Watari S, Ikuta Y, Adachi N, Murase M, Tsuge K (1978) Vascular pedicle fibular transplantation as treatment for bone tumor. Clin Orthop 133:158
Weiland AJ, Kleinert HE, Kutz JE, Daniel RK (1979) Free vascularized bone grafts in surgery of the upper extremity. J Hand Surg 4:129
Weiland AJ, Daniel RK (1979) Microvascular anastomoses for bone grafts in the treatment of massive defects in bone. J Bone Joint Surg [Am] 61:98
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Donski, P.K., Buechler, U. & Tschopp, H.M. Surgical dissection of the fibula for free microvascular transfer. Chir Plastica 6, 153–164 (1982). https://doi.org/10.1007/BF00269869
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DOI: https://doi.org/10.1007/BF00269869