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Archives of Orthopaedic and Trauma Surgery

, Volume 128, Issue 9, pp 941–944 | Cite as

Rigid bridging of massive femur defect using double vascularized fibula graft with hydroxyapatite

  • Toshihiro Matsuo
  • Takashi Sugita
  • Shoji Shimose
  • Tadahiko Kubo
  • Toru Sunagawa
  • Yuji Yasunaga
  • Mitsuo Ochi
Orthopaedic Surgery

Abstract

The presence of large and massive segmental defects of the diaphyseal bone following tumor resection is a significant problem for orthopedic surgeons. Double or folded free vascularized fibula graft (FVFG) is used in massive femur defects and is considered to be a reliable reconstructive procedure. However, folded or double fibula grafts cannot prevent stress fractures. Here, a novel surgical procedure for bridging of massive femur defects using double FVFG and hydroxyapatite with autogenous bone grafts to prevent stress fractures is reported.

Keywords

Femur defect Vascularized fibula graft Hydroxyapatite Autogenous bone graft Surgical treatment 

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Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Toshihiro Matsuo
    • 1
  • Takashi Sugita
    • 2
  • Shoji Shimose
    • 3
  • Tadahiko Kubo
    • 3
  • Toru Sunagawa
    • 3
  • Yuji Yasunaga
    • 1
  • Mitsuo Ochi
    • 3
  1. 1.Department of Artificial Joints and Biomaterials, Graduate School of Biomedical SciencesHiroshima UniversityHiroshimaJapan
  2. 2.Department of Orthopaedic SurgeryHiroshima Prefectural HospitalHiroshimaJapan
  3. 3.Department of Orthopaedic Surgery, Graduate School of Biomedical SciencesHiroshima UniversityHiroshimaJapan

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