Journal article

The non-vascularised fibular graft A SIMPLE AND SUCCESSFUL METHOD OF RECONSTRUCTION OF THE PELVIC RING AFTER INTERNAL HEMIPELVECTOMY

T Akiyama, JCM Clark, Y Miki, PFM Choong

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | BRITISH EDITORIAL SOC BONE & JOINT SURGERY | Published : 2010

Abstract

Internal hemipelvectomy is a standard treatment for malignant tumours of the pelvis. Reconstruction using a non-vascularised fibular graft is relatively straightforward compared to other techniques. We describe the surgical and functional outcomes for a series of ten patients who underwent an internal hemipelvectomy (type I or I/IV) with reconstruction by a non-vascularised fibular graft between 1996 and 2009. A key prerequisite for this procedure was a preserved sciatic notch, confirmed pre-operatively on MRI. Graft-host union was achieved in all patients with a single fibular graft, and in the lower graft where two grafts had been used. The mean time to union was 7.3 months (3 to 12). The ..

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