Plastic and reconstructive surgery
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Plast. Reconstr. Surg. · Jan 2010
Reconstruction of major traumatic segmental bone defects of the tibia with vascularized bone transfers.
Segmental bone defects of the tibia after high-energy trauma are limb-threatening conditions. Multiple treatment options have been proposed, including nonvascularized bone grafts, vascularized bone transfers, and callus distraction. A series of 41 patients with major segmental defects of the tibia treated with vascularized bone reconstruction is presented. ⋯ The use of vascularized bone transfer in the treatment of major segmental tibial defects was successful in the present series. The management of bone fixation and infection in these cases is discussed.