Free Vacularized Fibula Flap for Septic Bone Defects of the Lower Limb.

IF 1.5 4区医学 Q3 DERMATOLOGY

International Journal of Lower Extremity Wounds Pub Date : 2023-12-01 Epub Date: 2021-10-04 DOI:10.1177/15347346211049881

Iván Copete González, Nieves Vanaclocha, Alberto Sánchez-García, Alessandro Thione, Alberto Pérez-García

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引用次数: 1

Abstract

Free fibula flap (FFF) is one of the reconstructive techniques to treat bone defects, although in septic conditions there are some limitations that have made it less popular. We present our experience with FFF for the reconstruction of lower limb infectious bone defects. From September 2015 to January 2020, 10 patients underwent reconstruction with FFF without rigid internal fixation of septic bone defects of the lower extremities. Demographic, clinical, and operative data were retrospectively collected. All the flaps survived and consolidated. The only major complication was a stress fracture of a fibula that required osteosynthesis. Median time to consolidation and full weight-bearing was 2.5 and 9.8 months, respectively. Bipedal gating was achieved in all the patients, 7 of them without walking aids. Despite it has some limitations and technical difficulties, in our experience FFF is an effective and reliable option in the reconstruction of septic bone defects of the lower limb.

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游离空化腓骨瓣治疗下肢感染性骨缺损。

游离腓骨瓣（FFF）是治疗骨缺损的重建技术之一，尽管在感染性疾病中存在一些局限性，使其不太受欢迎。我们介绍了FFF重建下肢感染性骨缺损的经验。2015年9月至2020年1月，10名患者接受了FFF重建术，无需对下肢感染性骨缺损进行刚性内固定。回顾性收集人口统计学、临床和手术数据。所有皮瓣均存活并加固。唯一的主要并发症是腓骨应力性骨折，需要进行接骨。固结和完全承重的中位时间分别为2.5个月和9.8个月。所有患者均实现了双足门控，其中7名患者未使用助行器。尽管FFF有一些局限性和技术困难，但根据我们的经验，它是重建下肢感染性骨缺损的一种有效而可靠的选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Lower Extremity Wounds DERMATOLOGY-SURGERY

CiteScore

4.60

自引率

17.60%

发文量

审稿时长

>12 weeks

期刊介绍： The International Journal of Lower Extremity Wounds (IJLEW) is a quarterly, peer-reviewed journal publishing original research, reviews of evidence-based diagnostic techniques and methods, disease and patient management, and surgical and medical therapeutics for lower extremity wounds such as burns, stomas, ulcers, fistulas, and traumatic wounds. IJLEW also offers evaluations of assessment and monitoring tools, dressings, gels, cleansers, pressure management, footwear/orthotics, casting, and bioengineered skin. This journal is a member of the Committee on Publication Ethics (COPE).