自体腓骨移植修复病理性骨缺损

Repair of Pathological Bone Defect with Autogenous Fibula Graft

目的观察自体腓骨移植在病理性骨缺损治疗中的应用和长期疗效。方法 2008年5月至2015年7月我院共收治23例病理性骨缺损患者。其中男14例,女9例;年龄0.5~72岁,平均22岁。7例采用带血管腓骨移植,16例采用不带血管的腓骨移植,5例合并髂骨移植,2例合并同种异体骨移植,1例合并髂骨及人工骨移植。结果 20例获得随访,随访时间5~84个月,平均24.7个月。X线检查显示17例移植骨成活,恢复肢体功能。骨愈合时间3~39个月,3例移植骨不愈合。结论采用自体腓骨移植修复病理性骨缺损是一种较理想的治疗方案。

Objective To observe the application and long-term efficacy of autologous fibula graft in the treatment of pathological bone defect.Methods From May 2008 to July 2015,23 patients with pathological bone defect were treated.There were 14 males and 9 females,aged 0.5-72 years old,with an average of 22 years old.7 patients were treated with vascularized fibula graft and 16 patiemts without vascular graft.5 patients with iliac bone graft;2 patients with allograft bone transplantation;1 patients with iliac bone and artificial bone graft.Results 20 patients were followed up for 5-84 months （mean 24.7 months）.X-ray examination showed that 17 graft survived and restored limb function.Bone healing time was 3-39 months.There were 3 patients with bone graft not survived.Conclusion Autologous fibular grafting is an ideal treatment for repairing pathological bone defects.