Tips to secure healing at the free vascularised fibular graft-to-host bone junction

Konstantinos N Malizos; Apostolos Fyllos; Sokratis Varytimidis; Zoe Dailiana

doi:10.1016/j.injury.2019.10.047

Tips to secure healing at the free vascularised fibular graft-to-host bone junction

Injury. 2019 Dec:50 Suppl 5:S46-S49. doi: 10.1016/j.injury.2019.10.047. Epub 2019 Oct 21.

Authors

Konstantinos N Malizos¹, Apostolos Fyllos², Sokratis Varytimidis², Zoe Dailiana²

Affiliations

¹ Department of Orthopaedic Surgery, Faculty of Medicine, University of Thessaly, 41500 Larissa, Greece. Electronic address: malizos@med.uth.gr.
² Department of Orthopaedic Surgery, Faculty of Medicine, University of Thessaly, 41500 Larissa, Greece.

PMID: 31708088
DOI: 10.1016/j.injury.2019.10.047

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.

Keywords: Bone healing; Microsurgery; Reconstruction; Skeletal defects; Vascularized fibula.

MeSH terms

Bone Transplantation / methods*
Extremities / surgery
Fibula / blood supply*
Fibula / transplantation*
Humans
Microsurgery / methods*
Plastic Surgery Procedures / methods*
Transplant Donor Site
Treatment Outcome
Wound Healing*