Abstract：
UNASSIGNED: Vascularized fibula grafts (VFGs) have become one of the most preferred grafts for the reconstruction of bone defects. However, despite the many advantages over other graft options, recipient and donor site morbidities are also common. Donor site morbidity has been reported at rates ranging from 5% to 67%. The aim of this study was to present a single-center series examining the clinical, functional, and radiologic aspects of donor site morbidity following VFG harvesting.
UNASSIGNED: The study included 69 patients who underwent biological reconstruction with VFG for bone tumors, avascular necrosis of the femoral head, or bone defects after trauma. Patients were evaluated functionally, clinically, and radiologically for donor site morbidity.
UNASSIGNED: Donor site morbidity was observed in 33 of 69 patients (48%). The most complications were sensation deficits around the feet and ankles (20 of 69; 29%). Knee laxity was more common in patients who underwent osteoarticular fibular resection (P = .006).
UNASSIGNED: We found VFG to be an effective method for the reconstruction of large bone defects, but associated with a relatively high rate of complications. Complications requiring surgical intervention were rare and the majority of patients did not have long-term functional limitations.
UNASSIGNED: Level IV, retrospective case series.
UNASSIGNED: The study included 69 patients who underwent biological reconstruction with VFG for bone tumors, avascular necrosis of the femoral head, or bone defects after trauma. Patients were evaluated functionally, clinically, and radiologically for donor site morbidity.
UNASSIGNED: Donor site morbidity was observed in 33 of 69 patients (48%). The most complications were sensation deficits around the feet and ankles (20 of 69; 29%). Knee laxity was more common in patients who underwent osteoarticular fibular resection (P = .006).
UNASSIGNED: We found VFG to be an effective method for the reconstruction of large bone defects, but associated with a relatively high rate of complications. Complications requiring surgical intervention were rare and the majority of patients did not have long-term functional limitations.
UNASSIGNED: Level IV, retrospective case series.
摘要：
■血管化腓骨移植物（VFG）已成为重建骨缺损的最优选移植物之一。然而,尽管与其他移植选项相比有许多优势，受者和供体部位的发病率也很常见。据报道，捐赠部位的发病率在5％至67％之间。这项研究的目的是提出一个单中心系列检查临床，功能，采集VFG后供体部位发病率的放射学方面。
■该研究包括69例接受VFG生物重建治疗骨肿瘤的患者，股骨头缺血性坏死,或者外伤后的骨缺损.对患者进行了功能评估，临床上,和放射学上的供体部位发病率。
■在69例患者中有33例（48％）观察到供体部位发病率。最常见的并发症是脚和脚踝周围的感觉缺陷（69个中的20个；29％）。膝关节松弛在接受骨关节腓骨切除术的患者中更为常见（P=.006）。
■我们发现VFG是重建大骨缺损的有效方法，但伴随着相对较高的并发症发生率。需要手术干预的并发症很少见，大多数患者没有长期功能限制。
■四级，回顾性病例系列。
■该研究包括69例接受VFG生物重建治疗骨肿瘤的患者，股骨头缺血性坏死,或者外伤后的骨缺损.对患者进行了功能评估，临床上,和放射学上的供体部位发病率。
■在69例患者中有33例（48％）观察到供体部位发病率。最常见的并发症是脚和脚踝周围的感觉缺陷（69个中的20个；29％）。膝关节松弛在接受骨关节腓骨切除术的患者中更为常见（P=.006）。
■我们发现VFG是重建大骨缺损的有效方法，但伴随着相对较高的并发症发生率。需要手术干预的并发症很少见，大多数患者没有长期功能限制。
■四级，回顾性病例系列。
