Non-vascularized fibula and corticocancellous bone grafting for gap nonunion of lower limb—retrospective study of 18 cases—an age old technique revisited

Nataraj, B.; Singh, Vakil; Pathak, Aditya C; Jain, Margaret; Khapane, Vijay

doi:10.1007/s12570-014-0254-2

Cited by 4 publications

(8 citation statements)

References 20 publications

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“…Non vascularized fibular graft is used to manage a diaphyseal forearm gap defect. It is a long, tubular, strong autogenous bone graft readily available [7]. Sacrifice of the fibula does not appear to have any detectable functional disadvantage and donor site morbidity [7][8][9].…”

Section: Discussionmentioning

confidence: 99%

“…It is a long, tubular, strong autogenous bone graft readily available [7]. Sacrifice of the fibula does not appear to have any detectable functional disadvantage and donor site morbidity [7][8][9]. Clinical studies have suggested that the distal six cm of fibula should be preserved to maintain lateral stability of the ankle [3,5.7].…”

Section: Discussionmentioning

confidence: 99%

“…Success of operative procedures involving non-vascularised autogenous bone graft depends on the ability of the surrounding soft tissues to withstand the operative manipulation and to revascularise the transplanted bone graft [8]. Despite a high success rate, the danger of resorption, a high incidence of stress fractures, and the lack of biological activity have been thought to be disadvantages of non-vascularized fibular grafts compared to vascularized grafts [1,7,9]. Though vascularised grafts are significantly stronger than conventional fibular grafts however, graft fracture are known to occur in both [5,8].…”

Section: Discussionmentioning

confidence: 99%

“…Illizarov bone transport procedures have provided alternatives for the reconstruction of composite skeletal and soft-tissue defects; however, such procedures are complex and lengthy and have been associated with many complications [7,8]. We achieved defect filling with osteo-inductive cortico-cancellous iliac crest graft and osteoconductive fibular graft block and internal fixation by nail imparting stability to the fracture.…”

Section: Discussionmentioning

confidence: 99%

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Infected Diaphyseal Non-union of Radius Managed with Fibular Graft and Intramedullary Fixation: Case Report on Simple Technique for Complex Case

Tomar¹,

Govil²,

Dhawan³

2020

JCR

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Background: Management of infected gap non-union of forearm bones is a challenging task. Various methods of treatment available in the literature are cortical tibial graft, ulnar segment graft, iliac crest graft, cancellous insert graft, vascularized fibular graft, bone transport by ring fixator and Nicoll's method with plating of iliac crest graft. Case Report: We report a complex case of infected non-union of radius managed with simple reconstruction of gap defect with a free non-vascularised fibular graft and supplemented by cortico-cancellous autologous bone graft. An intra-medullary wire was preferred over plating for fixation. At 18 months follow up, the patient is symptom free and is able to carry out the daily activities with ease. Conclusion: The procedure is economically viable and easily reproducible.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Infected Diaphyseal Non-union of Radius Managed with Fibular Graft and Intramedullary Fixation: Case Report on Simple Technique for Complex Case

Tomar¹,

Govil²,

Dhawan³

2020

JCR

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“…In the literature, some studies report that NVFGs have disadvantages, such as a high risk of resorption and lack of biological activity, while some other studies state that they have much more advantageous features than other methods (12). Upper extremity pseudarthrosis is more challenging to treat surgically than lower extremity pseudarthrosis.…”

Section: Introductionmentioning

confidence: 99%

Is Non-Vascularized Fibular Grafting an Effective Choice in the Treatment of Upper Extremity Pseudarthrosis?

Ekinci¹

2020

Erciyes Med J

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To examine the efficacy of non-vascularized fibular grafts (NVFGs) in cases of isolated upper extremity pseudarthrosis, a subject covered by few publications in the literature. Materials and Methods: Twelve long bones of 11 patients treated with NVFGs for upper extremity pseudarthrosis between January 2014 and July 2018 in our clinic were included in this study. Demographic data, length of the NVFG, postoperative complications, postoperative recovery period, radiographic bone union, joint range of motion measurements, Quick-Disabilities of the Arm, Shoulder and Hand (Q-DASH) score for functional evaluation, and Lower Extremity Functional Scale (LEFS) or donor site morbidity were recorded. Results: Of the 11 cases (three females and 8 males; median age 42.5 years; range 11 to 54 years; mean follow up 24.58±9.31 months), five cases involved the humerus, three cases involved the radius, two cases involved the ulna, and two cases involved the clavicle. The mean amount of graft harvested from the donor site was 39.7±8.87 mm, while the graft union time was 6±0.50 months. Satisfactory Q-DASH [median 6.8 (2.28-29.50)] and LEFS scores (mean 76.5±2.81) were obtained Conclusion: Reconstruction with NVFGs is still an effective method in patients with problematic treatment of upper extremity long bone pseudarthrosis.

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Reconstruction of Traumatic, Open Supracondylar Femoral Fractures by Autologous Fibular Strut Grafting and Cortico-Cancellous Bone Grafting—A Single-Centre, Observational Study

Iyengar

Cherukuri

Patnala

2018

Journal of Orthopaedic Trauma

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Non-vascularized fibula and corticocancellous bone grafting for gap nonunion of lower limb—retrospective study of 18 cases—an age old technique revisited

Cited by 4 publications

References 20 publications

Infected Diaphyseal Non-union of Radius Managed with Fibular Graft and Intramedullary Fixation: Case Report on Simple Technique for Complex Case

Infected Diaphyseal Non-union of Radius Managed with Fibular Graft and Intramedullary Fixation: Case Report on Simple Technique for Complex Case

Is Non-Vascularized Fibular Grafting an Effective Choice in the Treatment of Upper Extremity Pseudarthrosis?

Reconstruction of Traumatic, Open Supracondylar Femoral Fractures by Autologous Fibular Strut Grafting and Cortico-Cancellous Bone Grafting—A Single-Centre, Observational Study

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