Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1990-5-18
pubmed:abstractText
Fifty-two patients who had a tumor in the lower extremity (thirty-seven, a giant-cell tumor and fifteen, a small osteosarcoma that had not metastasized) had dual-fibular strut-grafting to bridge the osseous gap resulting from excision of the tumor. The size of the gap ranged from nine to twenty-four centimeters. The average time until union ranged from ten to twenty months. The ipsilateral fibula was used in thirty-six patients and both fibulae, in the remaining sixteen patients. Immediate reimplantation and adequate fixation of the fibular graft to the proximal and distal ends of the bone to be grafted, along with placement of a cuff of cancellous bone at the host-graft junction and between the fibular struts, fostered early union of the graft to the host bone. Insertion of Kirschner wires inside these long grafts helped to maintain continuity of the graft when a stress fracture occurred. Eight patients who had a non-union at one of the host-graft sites and three who had a stress fracture had subsequent cancellous bone-grafting to obtain union. Superficial infection was the most common complication and was seen in seventeen patients.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0021-9355
pubmed:author
pubmed:issnType
Print
pubmed:volume
72
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
486-94
pubmed:dateRevised
2010-10-25
pubmed:meshHeading
pubmed:year
1990
pubmed:articleTitle
Dual-fibular grafting for massive bone gaps in the lower extremity.
pubmed:affiliation
Department of Orthopaedic Surgery, Maulana Azad Medical College, New Delhi, India.
pubmed:publicationType
Journal Article, Case Reports