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The Journal of Bone and Joint Surgery, Vol 75, Issue 10 1442-1450, Copyright © 1993 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

Secondary reconstruction after vascularized fibular transfer

JB Jupiter, MA Palumbo, JA Nunley, PL Aulicino and JE Herzenberg
Orthopaedic Trauma Service, Massachusetts General Hospital, Boston 02114.

We evaluated the results of skeletal reconstruction performed through a mature, vascularized fibular graft in five patients. The average time-interval between the original transplant and the secondary reconstruction was sixty-eight months. The indication for the initial graft had been the loss of bone secondary to trauma in one patient, a skeletal defect due to ablation of a tumor in two patients, and osseous loss due to resection of a congenital pseudarthrosis in two patients. The indication for the second reconstruction was non-union of a fracture as a result of a new traumatic injury in two patients and complex angular deformity in three patients; one of the patients in the latter group had an associated leg-length discrepancy. In all five patients, the second reconstruction was successful, and the vascularized fibular graft responded to the procedure in a manner similar to normal cortical bone.
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