The fibula has been routinely used for reconstruction of skeletal defects inthe long bones. Its length, configuration, stability and predictable vascular pedicle makethe fibula an ideal donor. The literature is full o...The fibula has been routinely used for reconstruction of skeletal defects inthe long bones. Its length, configuration, stability and predictable vascular pedicle makethe fibula an ideal donor. The literature is full of reports regarding fibula transfer forlarge bone defects associated with traumatic nonuion. However, the long-term effect offibulectomy on the donor leg are seldom mentioned. The purpose of this paper is to re-view its complications and results. The residual functional deficit of partial fibulectomywas documented with subjective assessment and clinical examination in 15 patients, 7 menand 8 women, with mean age of 24 years and 8 months. The length of time forevaluation after surgery averaged 8 years and 7 months. Four of the 7 patients with exci-sion of the proximal third of the fibula had no complaint, while the remainder complainedof mild pain and weakness of affected leg. If the middle third of the fibula was excised,patients would develop symptoms: four had moderate or severe pain and ankle swelling,and 2 patients incurred osteoarthritis of the ankle. There was severe instability of the an-kle if longer segment of fibula was excised. Three cases had persistent symptoms. Thedistal fibular remnant was osteoporotic and was displaced upward and lateraly. There werealso widening of the ankle mortics and talar tilt.展开更多
文摘The fibula has been routinely used for reconstruction of skeletal defects inthe long bones. Its length, configuration, stability and predictable vascular pedicle makethe fibula an ideal donor. The literature is full of reports regarding fibula transfer forlarge bone defects associated with traumatic nonuion. However, the long-term effect offibulectomy on the donor leg are seldom mentioned. The purpose of this paper is to re-view its complications and results. The residual functional deficit of partial fibulectomywas documented with subjective assessment and clinical examination in 15 patients, 7 menand 8 women, with mean age of 24 years and 8 months. The length of time forevaluation after surgery averaged 8 years and 7 months. Four of the 7 patients with exci-sion of the proximal third of the fibula had no complaint, while the remainder complainedof mild pain and weakness of affected leg. If the middle third of the fibula was excised,patients would develop symptoms: four had moderate or severe pain and ankle swelling,and 2 patients incurred osteoarthritis of the ankle. There was severe instability of the an-kle if longer segment of fibula was excised. Three cases had persistent symptoms. Thedistal fibular remnant was osteoporotic and was displaced upward and lateraly. There werealso widening of the ankle mortics and talar tilt.
