Mohd Yusof, Nazri
(2022)
Non vascularized fibular strut graft at the docking site following tibial bone transport.
In: 42nd SICOT Orthopaedic World Congress, 28-30 September 2022, KLCC Kuala Lumpur.
(Unpublished)
Abstract
Docking site non-union is common following bone transport of the tibiae. Option to improve healing of the docking site includes refashioning both bone end and removing the interposition of soft tissue or iliac bone graft. However, some patients refuse iliac bone grafting because of pain at the donor site. Non-vascularised fibular bone graft is an option for this patient. We reported 3 successful cases of non-vascularized fibular grafts following bone transport at the tibia.
Method
Three male patients aged between 20 to 31 underwent the operation following grade IIIB open tibial fracture and infected nonunion of the tibia. All were done for proximal to distal transport for tibial shaft defect. The bone gap is between 4 to 5 cm. The length of the fibula strut is 2 cm taken 10 cm from the syndesmotic joint.
Result
All achieved union between 4 to 6 months. There is no wound complication at the donor site or at the docking site.
Conclusion
Fibular strut graft is another option for the management of docking site problems. It has the advantages of less donor site pain, helps to align the bone and does not interfere with wound closure because it is in the medullary canal.
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