Tips to secure healing at the free vascularised fibular graft-to-host bone junction. (December 2019)

• Record Type: Journal Article
• Authors: Malizos, Konstantinos N.; Fyllos, Apostolos; Varytimidis, Sokratis; Dailiana, Zoe
• Is Part Of: Injury. Volume 50(2019)Supplement 5
• Page Start: S46
• Page End: S49
• Publication Date: 2019-12
• Subjects: Bone healing -- Microsurgery -- Reconstruction -- Skeletal defects -- Vascularized fibula; Wounds and injuries -- Surgery -- Periodicals; Accidents -- Periodicals; Wounds and Injuries -- surgery -- Periodicals; Lésions et blessures -- Chirurgie -- Périodiques; Electronic journals; Electronic journals; 617.1
• DOI: 10.1016/j.injury.2019.10.047
• Languages: English
• ISSNs: 0020-1383

Abstract

Abstract: The most commonly used vascularized bone graft in Orthopedics for difficult reconstructive problems requiring biological augmentation properties is the fibula. It provides immediate structure and with a patent pedicle, increases blood flow at the recipient site, promoting healing and hypertrophy in response to mechanical stress. The vascular supply from the nutrient branch and the periosteal vessels allows a variety of graft harvesting configurations for a broad spectrum of reconstructive challenges. We present the details on how to optimize healing and graft incorporation at the junction sites.