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The Journal of Bone and Joint Surgery 78:1248-51 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Tibial Stress Fracture after a Graft Has Been Obtained from the Fibula. A Report of Five Cases*

SANFORD E. EMERY, M.D.{dagger}, CLEVELAND, JOHN G. HELLER, M.D.{ddagger}, DECATUR, CHERYL A. PETERSILGE, M.D.{dagger}, CLEVELAND, OHIO, MICHAEL J. BOLESTA, M.D.§ and THOMAS E. WHITESIDES, JR., M.D.{ddagger}, DECATUR, GEORGIA

Investigation performed at the Departments of Orthopaedic Surgery, Case Western Reserve University, Cleveland, and Emory University School of Medicine, Decatur


   Introduction
 
Stress fractures of the lower extremity may result from overuse of normal bone or from normal loading of structurally deficient bone. Stress fractures of the pelvis have been reported as a complication after a bone graft has been obtained from the iliac crest4. Han et al. reviewed the cases of 160 patients who had had a vascularized bone transfer. Of the 132 patients who had had a fibular transfer, one had a tibial stress fracture but no follow-up information was provided. To our knowledge, no reports have addressed only fatigue failure of the tibia after the attainment of a graft from the fibula. We report the cases of five patients who had a tibial stress fracture after a graft had been obtained from the ipsilateral fibula for use in anterior reconstruction of the spine. Patients who have persistent or recurrent pain in the leg after a graft has been . . . [Full Text of this Article]


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