J Korean Orthop Assoc.  2007 Jun;42(3):285-290. 10.4055/jkoa.2007.42.3.285.

New Fibular Strut Graft Technique to Minimize Donor Site Complications

• Jung ST
• Kim BS
• Xin ZF
• Moon ES
• Lee KB

• KMID: 2186550
• DOI: http://doi.org/10.4055/jkoa.2007.42.3.285

Abstract

PURPOSE: To evaluate the effectiveness of a periosteal sleeve preserced fibular strut graft for the minimization of donor site complications.
MATERIALS AND METHODS
Between September 1998 and March 2005, 20 patients who were followed for more than 12 months after the fibular sturt graft for a bone defect using a periosteal sleeve preservation technique were evaluated. The mean age was 13.3 years (range, 2-29 years) and the mean follow-up period was 16.2 months (range, 12-36 months).
RESULTS
The mean time for the union of the primary disease was 3.3 months (range, 2-6 months) and for regeneration of the donor site was 9.1 weeks (range, 4-12 weeks) in 13 cases. Partial regeneration developed in 6 cases and there was no regeneration in 1 case. There were 2 cases of donor site complications.
CONCLUSION
The new fibular strut graft technique is very effective method for reconstruction of a bone defect with a minimization of the donor site complications particularly in children.

Keyword

Fibular graft; Periosteal sleeve preservation; Donor site complications

MeSH Terms

Child
Follow-Up Studies
Humans
Regeneration
Tissue Donors*
Transplants*

Figure

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  Fig. 1 (A) A longitudinal incision was made on the fibular and its periosteum. (B) The fibular was harvested using a periosteal preservation technique. (C) Bone defect of the donor site was filled with an allochip graft or calcium sulfate. (D) The periosteum was sutured.

• 

  Fig. 2 A) Preoperative radiograph of a 6-year-old boy show a simple bone cyst on the proximal femur. (B) Immediate postoperative radiograph show a bone defect of the primary disease filled with fibula. A new defect of donated fibular was filled with an allochip graft and repaired using a periosteal preservation technique. (C) After 3 months, the primary disease was healed and the fibular had completely regenerated.

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