Abstract
We analyzed our clinical results in 48 patients (40 men) treated during 1990-1993 with free vascularized bone-graft reconstruction for bone defects, the follow-up being an average 6 (5-8) years. The bone defects were located in the femur (10), tibia (32), humerus (2), and forearm (4). We performed 41 fibula transfers, 4 iliac transfers, and 3 rib transfers in these patients. 3 patients required early revision surgery due to venous thrombosis. The average time needed for radiographic bone union was 4.2 months. Bone transfers to the lower extremity showed significantly more hypertrophy than those in the upper extremity. The functional outcome was good in 43 patients.
MeSH terms
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Adolescent
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Adult
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Female
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Femoral Fractures / diagnostic imaging
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Femoral Fractures / surgery*
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Fibula / transplantation*
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Follow-Up Studies
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Forearm Injuries / diagnostic imaging
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Forearm Injuries / surgery*
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Fracture Healing
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Fractures, Open / diagnostic imaging
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Fractures, Open / surgery*
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Humans
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Humeral Fractures / diagnostic imaging
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Humeral Fractures / surgery*
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Ilium / transplantation*
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Male
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Middle Aged
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Osteomyelitis / diagnostic imaging
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Osteomyelitis / surgery*
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Radiography
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Reoperation
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Ribs / transplantation*
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Surgical Flaps* / adverse effects
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Tibial Fractures / diagnostic imaging
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Tibial Fractures / surgery*
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Time Factors
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Treatment Outcome
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Venous Thrombosis / etiology
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Venous Thrombosis / surgery