Free Vascularized Fibular Graft Following Bone Tumour Resection and for Aseptic Necrosis of Femoral Head

Abstract

Three cases of bone tumor and a case of aseptic femoral head necrosis underwent free vascularized fibular graft following tumour resection or curettage of the necrotic bone tissue in the femoral head. Case 1 had GCT in the distal radius. Wrist arthrodesis was carried out. Internal and external rotation of the forearm was preserved sufficiently. Case 2 underwent reconstruction of the pelvis by free vascularized fibular graft. Hypertrophy of the grafted bone was good enough for free gait without any assistance. Case 3 had bilateral aseptic necrosis of the femoral head. Free vascularized fibular graft insertion was performed on the right femur. Six months after operation, this patient walked without any assistance, although the femoral head collapsed by 1mm. Case 4 had osteosarcoma of the mandibula. Free vascularized fasciocutaneous fibular graft was used to reconstruct the mandibula and inner oral surface.
Mean bone union was observed in 8 week.