FREE VASCULARISED FIBULAR GRAFTING FOR RECONSTRUCTION AFTER TUMOUR RESECTIONR. W.-W. Hsu, MD, Associate Professor and ChairmanDepartment of Orthopaedics, Chang Gung Memorial Hospital, Chang Gung Medical & Engineering College, 5 Fu-Hsing Street, Kweishan, Taoyuan, Taiwan, Republic of China. M. B. Wood, MD, Professor; and F. H. Sim, MD, Professor Department of Orthopaedics, Mayo Clinic/Mayo Foundation, Rochester, Minnesota 55905, USA. E. Y. S. Chao, PhD, Professor and Vice-Chairman for Research Orthopaedic Biomechanics Laboratory, School of Medical, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21205-2196, USA. Correspondence should be sent to Dr R. W.-W. Hsu. We have reviewed 30 patients at a mean of 36 months after free vascularised fibular transfer to reconstruct massive skeletal defects after resection of primary bone tumours. There were 23 malignant and 7 benign neoplasms, half in the lower limb and half in the upper. Arthrodesis was performed in 15 and intercalary bone replacement in 15. The mean fibular graft length was 189 mm. Union was achieved in 27 (90%) at an average of 7.6 months, and the 3-year survival was 89%. There was a high complication rate (50%), but most resolved without greatly influencing the final outcome. There was local recurrence in two (6.7%), but 16 of the 24 assessed patients (67%) had satisfactory functional results. This is a reasonably effective means of reconstruction for limb salvage after resection of tumours. This article has been cited by other articles:
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