Microsurgical reconstruction of lower limb bone defects following XXXX resection using vascularized fibula osteoseptocutaneous flap.

@entity1 @entity2828 @entity242 @entity174 @entity1184 @entity5 @entity85
This study included 25 @entity1 with lower limb @entity5 who had wide local resection and reconstruction by vascularized fibula osteoseptocutaneous flap, and who had their surgery performed at least 24 months before the end of the study. The average age at operation was 23.5 years. Twenty-three @entity5 were malignant;16 were staged as high-grade @entity242 (stage IIA, stage IIB, and @entity2828 ). @entity5 volume averaged 293.2 cc (range, 41.4-860). The resulting defect after @entity5 resection averaged 16 cm (range, 9-20 cm). The fibula was inserted as a single strut in 21 @entity1 , and as a double-barrel construct in 4 @entity1 . Fixation was augmented by interlocking nail in 11 cases, bridge plate in 9 cases, and external fixator in 5 cases. Twenty-four (96%) flaps survived. All grafts united in an average period of 4.5 months (range, 3-8 months) after transfer. Two secondary procedures were necessary to achieve graft union. Full weight bearing was possible after an average period of 7.5 months (range, 5-14 months). Significant @entity1184 (> or =30% of original fibular diameter) occurred in 85% of @entity1 after an average period of 10 months from the index operation. In the latest follow-up radiographs (mean, 32 months), the degree of @entity1184 averaged 90% (range, 30-200%). Graft @entity174 occurred in three @entity1 , and all healed conservatively. The @entity85 Society rating score (MTSRS) averaged 21.2 points at the end of the first postoperative year, and 23.6 at the end of the study.
