Free vascularised fibular graft for reconstruction of defects of the lower limb after resection of tumour

A. Hariri; E. Mascard; F. Atlan; M. A. Germain; N. Heming; J. F. Dubousset; P. Wicart

doi:10.1302/0301-620X.92B11.23832

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Oncology

Free vascularised fibular graft for reconstruction of defects of the lower limb after resection of tumour

A. Hariri
E. Mascard
F. Atlan
M. A. Germain
N. Heming
J. F. Dubousset
P. Wicart

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Free vascularised fibular graft for reconstruction of defects of the lower limb after resection of tumour

Hariri A, Mascard E, Atlan F, et al. Free vascularised fibular graft for reconstruction of defects of the lower limb after resection of tumour. J Bone Joint Surg Br. 2010;92-B(11):1574-1579. doi:10.1302/0301-620X.92B11.23832

Hariri, A., et al. “Free vascularised fibular graft for reconstruction of defects of the lower limb after resection of tumour.” The Journal of Bone & Joint Surgery British Volume, vol. 92-B, no. 11, 2010, pp. 1574-1579., https://doi.org/10.1302/0301-620X.92B11.23832

Hariri, A., Mascard, E., Atlan, F., Germain, M. A., Heming, N., Dubousset, J. F., & Wicart, P. (2010). Free vascularised fibular graft for reconstruction of defects of the lower limb after resection of tumour. The Journal of Bone & Joint Surgery British Volume, 92-B(11), 1574-1579. https://doi.org/10.1302/0301-620X.92B11.23832

Hariri, A., Mascard, E., Atlan, F., Germain, M. A., Heming, N., Dubousset, J. F. et al. (2010) “Free vascularised fibular graft for reconstruction of defects of the lower limb after resection of tumour.” The Journal of Bone & Joint Surgery British Volume, 92-B(11), pp. 1574-1579. Available at: https://doi.org/10.1302/0301-620X.92B11.23832

Hariri, A., E. Mascard, F. Atlan, M. A. Germain, N. Heming, J. F. Dubousset, and P. Wicart. “Free vascularised fibular graft for reconstruction of defects of the lower limb after resection of tumour.” The Journal of Bone & Joint Surgery British Volume 92-B, no. 11 (2010): 1574-1579. https://doi.org/10.1302/0301-620X.92B11.23832

Hariri A, Mascard E, Atlan F, Germain MA, Heming N, Dubousset JF, et al. Free vascularised fibular graft for reconstruction of defects of the lower limb after resection of tumour. J Bone Joint Surg Br. 2010 Nov 1;92-B(11):1574-1579. https://doi.org/10.1302/0301-620X.92B11.23832

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Abstract

We describe a retrospective review of 38 cases of reconstruction following resection of the metaphysiodiaphysis of the lower limb for malignant bone tumours using free vascularised fibular grafts. The mean follow-up was for 7.6 years (0.4 to 18.4). The mean Musculoskeletal Tumor Society score was 27.2 (20 to 30). The score was significantly higher when the graft was carried out in a one-stage procedure after resection of the tumour rather than in two stages. Bony union was achieved in 89% of the cases. The overall mean time to union was 1.7 years (0.2 to 10.3).

Free vascularised fibular transfer is a major operation with frequent, but preventable, complications which allows salvage of the limb with satisfactory functional results.

Correspondence should be sent to Dr A. Hariri; e-mail: amirhariri@aol.com

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