HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (9) Citing Articles via Google Scholar Google Scholar Articles by Malizos, K. N. Articles by Urbaniak, J. R. Search for Related Content PubMed PubMed Citation Articles by Malizos, K. N. Articles by Urbaniak, J. R.

Free Vascularized Fibular Grafts for Reconstruction of Skeletal Defects

Dr. Malizos is Professor and Chairman, Department of Orthopaedic Surgery, University of Thessalia, Larissa, Greece. Dr. Zalavras is Assistant Professor, Department of Orthopaedic Surgery, University of Southern California, Keck School of Medicine, Los Angeles, CA. Dr. Soucacos is Professor and Chairman, Department of Orthopaedic Surgery, University of Athens, Athens, Greece. Dr. Beris is Professor, Department of Orthopaedic Surgery, University of Ioannina, Ioannina, Greece. Dr. Urbaniak is Virginia Flowers Baker Professor and Chief, Division of Orthopaedic Surgery, Duke University Medical Center, Durham, NC.

Reprint requests: Dr. Malizos, University of Thessalia Medical School, 22 Papakiriazi St, 41222, Larissa, Greece.

Nourished by the peroneal vessels, the versatile free vascularized fibular graft can be transferred to reconstruct skeletal defects of the extremities. It may be combined with skin, fascia, muscle, and growth-plate tissue to address the needs of the recipient site. It may be cut transversely and folded to reconstruct the length and width of tibial or femoral defects. The main indications for this graft are defects larger than 5 to 6 cm or with poor vascularity of the surrounding soft tissues. Detailed pre-operative planning, experience in microvascular techniques, and careful postoperative follow-up are necessary to minimize complications and improve outcome. The free vascularized fibular graft has been successfully applied as a reconstruction option in patients with traumatic or septic skeletal defect, after tumor resection, and has shown promise in patients with congenital pseudarthrosis.

This article has been cited by other articles:

				M. Ghert, N. Colterjohn, and M. Manfrini The Use of Free Vascularized Fibular Grafts in Skeletal Reconstruction for Bone Tumors in Children J. Am. Acad. Ortho. Surg., October 1, 2007; 15(10): 577 - 587. [Abstract] [Full Text] [PDF]

				C. G. Zalavras, D. Femino, R. Triche, L. Zionts, and M. Stevanovic Reconstruction of Large Skeletal Defects Due to Osteomyelitis with the Vascularized Fibular Graft in Children J. Bone Joint Surg. Am., October 1, 2007; 89(10): 2233 - 2240. [Abstract] [Full Text] [PDF]

				C. G. Zalavras, R. E. Marcus, L. S. Levin, and M. J. Patzakis Management of open fractures and subsequent complications. J. Bone Joint Surg. Am., April 1, 2007; 89(4): 884 - 895. [Full Text] [PDF]

				M. J. Patzakis and C. G. Zalavras Chronic Posttraumatic Osteomyelitis and Infected Nonunion of the Tibia: Current Management Concepts J. Am. Acad. Ortho. Surg., October 1, 2005; 13(6): 417 - 427. [Abstract] [Full Text] [PDF]