Abstract:
:Bony defects caused by trauma, tumors, infection or congenital anomalies can present a significant surgical challenge. Free vascularised fibular bone grafts (FVFGs) have proven to be extremely effective in managing larger defects (longer than 6 cm) where other conventional grafts have failed. FVFGs also have a role in the treatment of avascular necrosis (AVN) of the femoral head, failed spinal fusions and complex arthrodeses. Due to the fact that they have their own blood supply, FVFGs are effective even in cases where there is poor vascularity at the recipient site, such as in infection and following radiotherapy. This article discusses the versatility of the FVFG and its successful application to a variety of different pathologies. It also covers the applied anatomy, indications, operative techniques, complications and donor-site morbidity. Though technically challenging and demanding, the FVFG is an extremely useful salvage option and can facilitate limb reconstruction in the most complex of cases.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Bumbasirevic M,Stevanovic M,Bumbasirevic V,Lesic A,Atkinson HDdoi
10.1007/s00264-014-2281-6subject
Has Abstractpub_date
2014-06-01 00:00:00pages
1277-82issue
6eissn
0341-2695issn
1432-5195journal_volume
38pub_type
杂志文章,评审abstract:PURPOSE:YouTube is increasingly becoming a key source for people to satisfy the need for additional information concerning their medical condition. This study analyses the completeness of accurate information found on YouTube pertaining to hip arthritis. METHODS:The present study analyzed 133 YouTube videos using the ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3174-7
更新日期:2016-10-01 00:00:00
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journal_title:International orthopaedics
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更新日期:2020-10-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1548-z
更新日期:2012-10-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266870
更新日期:1985-01-01 00:00:00
abstract:PURPOSE:The use of total hip arthroplasty (THA) to treat advanced tuberculous arthritis, particularly during the active phase, is challenging. The aim of this study was to evaluate the efficacy of cementless THA for advanced hip joint tuberculosis. METHODS:This study reviewed 32 patients (mean age at surgery, 49.4 yea...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2997-y
更新日期:2015-11-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640000172
更新日期:2000-01-01 00:00:00
abstract::Subluxation of the patella may produce pain and instability in young people. However its classification, diagnosis and treatment are controversial. We have used computerized tomography (CT) to measure the amount of lateral shift of the patella and the angle of tilt to the femur in patients with subluxation. The mean l...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00267752
更新日期:1986-06-01 00:00:00
abstract::From September 1995 to August 2001, we treated 25 patients with chronic osteomyelitis of long bones by a two-stage technique. This consisted of the radical removal of all infected bone and soft tissue and immediate provision of soft-tissue cover. This was supplemented when necessary with delayed autogenous bone grafti...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-002-0416-7
更新日期:2003-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2712-z
更新日期:2015-06-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00179966
更新日期:1995-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04730-7
更新日期:2020-11-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-1900-y
更新日期:2013-07-01 00:00:00
abstract::Hyperostosis of the spine, Forestier's disease, is a rare, but well defined entity which results from silent, extensive paraspinal calcification. It has been regarded as an asymptomatic ankylosis requiring no medical or surgical treatment. Two patients with Forestier's disease are presented who show severe stenosis of...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00267561
更新日期:1983-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-013-1882-9
更新日期:2013-08-01 00:00:00
abstract::This transtrochanteric approach to the hip maintains continuity between the greater trochanter and the vastus lateralis muscle, thereby preventing the gross displacement of the greater trochanter and preserving the branches of the lateral circumflex vessels to it. The procedure offers the advantages of easy exposure a...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00265739
更新日期:1988-01-01 00:00:00
abstract::Joint arthroplasty registries show an increased rate of aseptic loosening in uncemented acetabular components as compared to cemented acetabular components. Since loosening is associated with particulate wear debris, we postulated that uncemented acetabular components demonstrate a higher polyethylene wear rate than c...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-012-1738-8
更新日期:2013-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1477-2
更新日期:2012-07-01 00:00:00
abstract:PURPOSE:Hemiarthroplasty (HA) is generally considered to be the treatment of choice in the most elderly patients with a displaced fracture of the femoral neck. However, there is inadequate evidence to support the choice between unipolar HA or bipolar HA. The primary aim of this study was to analyse the outcome regardin...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-011-1213-y
更新日期:2011-11-01 00:00:00
abstract::Periprosthetic infections following total knee arthroplasty (TKA) are diagnostically challenging. We evaluated the sensitivity and specificity of ESR and CRP, false negative rates, whether false negative rates differed between early post-operative and late infections, and the predictive ability of ESR and CRP to diffe...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-010-1175-5
更新日期:2011-11-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04656-0
更新日期:2020-11-01 00:00:00
abstract::The Mennen plate has been used for osteosynthesis of 5 femoral fractures, 4 of which were at the tip of a prosthesis stem. Union was achieved in 2 fractures, and loss of fixation of the plate in three. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050234
更新日期:1998-01-01 00:00:00
abstract::A patient is reported who had multiple cartilaginous exostoses with malignant transformation of a pelvic osteochondroma. ...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s002640050136
更新日期:1997-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-4023-7
更新日期:2019-02-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-008-0627-7
更新日期:2009-10-01 00:00:00
abstract::The purpose of this study was to evaluate concentrated autologous bone marrow aspirate transplantation (CABMAT) treatment for corticosteroid-induced osteonecrosis of the femoral head (ONFH) in systemic lupus erythematosus (SLE). Bone marrow was aspirated from iliac crests, concentrated on a conventional manual blood b...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-010-1048-y
更新日期:2011-06-01 00:00:00
abstract::The aim of this investigation was to examine the effect of short-term immobilization on subchondral cortical and trabecular bone tissue in the rat tibia and to determine whether there was any difference when the knee was immobilized in extension or flexion. Thirty-six male rats were used in this study, and in 18 the k...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266984
更新日期:1988-01-01 00:00:00
abstract::Twenty-eight arthrodeses of the wrist were carried out for various indications using an ulnar graft. The results were evaluated and it was found that the obliquely resected lower end of the ulna gave a longer graft for better fusion between the distal end of radius and the base of the 3rd metacarpal. There was no inst...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00180131
更新日期:1990-01-01 00:00:00
abstract::One hundred and twenty-five cases of tuberculous osteomyelitis have been observed by the authors since 1968. The site of the lesion and the clinical and radiological findings have been analysed. The importance of accurate diagnosis by bacteriological and histological investigation is emphasized. Pitfalls in the differ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266209
更新日期:1986-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章,meta分析
doi:10.1007/s00264-011-1228-4
更新日期:2011-09-01 00:00:00
abstract::When surgically treated, pelvic-ring deformities due to post-traumatic malunions in adults usually require invasive three-stage (prone/supine/prone or supine/prone/supine) procedures. A standardised two-stage prone/supine procedure was developed by the authors. Technical points and first clinical results are presented...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-006-0089-8
更新日期:2006-10-01 00:00:00