Minimally invasive harvesting of nonvascularized fibular graft in children

作者：Lucas G; Lopez J; Fraisse B; Marleix S; Violas P^*

来源：Orthopaedics & Traumatology-Surgery & Research, 2015, 101(4): 515-518.

DOI：10.1016/j.otsr.2015.01.02.006

• Bone defect
• Nonvascularized fibular graft
• Minimally invasive

Using a nonvascularized fibular graft is part of the therapeutic arsenal for filling bone loss defects. It is conventionally performed by open surgery. The authors propose a minimally invasive technique for harvesting a free fibular graft. The fibula was removed subperiosteally by two or three small incisions in five patients with a mean age of nine years and nine months. The mean surgical time was 21 min and 40.5% of the length of the fibula was harvested. At the donor site, we found no removal-related complications, regeneration of the fibula was observed in 80% of cases, and the cosmetic result was considered excellent by all patients with a mean 4.3 years follow-up. This minimally invasive technique is simple and fast, with very low morbidity in our experience.

• 出版日期2015-6