Use of non-vascularized autologous fibula strut graft in the treatment of segmental XXXX .

@entity1 @entity174 @entity5 @entity604 @entity2967 @entity3207 @entity421 @entity3330 @entity130
BACKGROUND: Fractures resulting @entity604 challenge the orthopedic surgeon. Orthopedic surgeons in developed countries have the option of choosing vascularized bone transfers, bone transport, allogenic bone grafts, bone graft substitutes and several other means to treat such conditions. In developing countries where such facilities or expertise may not be readily available, the surgeon has to rely on other techniques of treatment. Non-vascularized fibula strut graft and cancellous bone grafting provides a reliable means of treating such conditions in developing countries. MATERIALS AND METHODS: Over a period of six years all @entity1 @entity604 either from @entity130 or oncologic resection were included in the study. Data concerning the type of wound, size of gap and skin loss at @entity5 or @entity174 were obtained from clinical examination and radiographs. RESULT: Ten @entity1 satisfied the inclusion criteria for the study. The average length of the fibula strut is 7 cm, the longest being 15 cm and the shortest 3 cm long. The average defect length was 6.5 cm. Five @entity1 had Gustillo III B open @entity174 . One @entity1 had recurrent @entity2967 of the distal radius and another had a polyostotic bone cyst of the femur, which was later confirmed to be @entity421 . Another had non-union of distal @entity174 with @entity3207 . One other @entity1 had @entity130 to the femur and was initially managed by skeletal traction. The tenth @entity1 had a @entity3330 . All @entity130 @entity1 had measurement of missing segment, tissue envelope assessment, neurological examination, and debridement under general anesthesia with @entity174 stabilization with external fixators or casts. Graft incorporation was 80% in all treated @entity1 . CONCLUSION: Autologous free, non-vascularized fibula and cancellous graft is a useful addition to the armamentarium of orthopedic surgeon in developing countries attempting to @entity604 , whether created by @entity130 or excision of @entity5 .
