Vascularized Fibula Grafts for Reconstruction of Bone Defects after Resection of Bone Sarcomas
Table 3
Results.
Patient
Location
Follow-up Survival after diagnosis [months]
Follow-up Clinical after surgery [months]
Enneking score
Bone healing [months]
Fractures (and treatment)
Other surgical complications and treatment
1
Ulnar diaphysis
35
26
27
16
No
Operation for a nonunion Hammertoe operation Removal of plate (after union)
2
Femoral diaphysis and proximal epiphysis
43
37
18
4
Two (both treated conservatively)
Hip dislocation (osteotomy of the proximal part of the graft)
3
Humeral diaphysis
62
55
18
10
One (treated conservatively and resulted in pseudarthrosis)
Pseudarthrtosis after a fracture (treated by bone grafting and plate osteosythesis)
4
Humeral diaphysis
102
72
29
2
No
Two hammertoe operations
5
Humeral diaphysis and proximal epiphysis
33
29
27
8
Two (plate osteosythesis and conservative treatment)
Infection at donor site
6
Femoral diaphysis and proximal epiphysis
13
9
—
—
No
Hip disarticulation (poor response to chemotherapy and only marginal resection)
7
Tibial diaphysis
63
55
29
16
No
Slight valgus deformity of donor ankle
8
Femoral diaphysis
83
75
21
52
One (stress fracture while still using external fixation—treated conservatively)
Slow healing and remodeling of the grafts: 1. Osteotomy and bone grafting, 2. Bone grafting x 2 2. Long term external fixation 3. Hyperbaric Oxygen therapy
