Evaluation of the efficacy of ipsilateral fibular transfer for reconstruction of large tibial defects in children: a retrospective study
Abstract Background Reconstruction of large tibial defects is often a major challenge in limb salvage. This study aimed to evaluate initial follow-up results of ipsilateral fibula transfer for the treatment of large tibial defects in children. Methods A retrospective study was performed between Sept...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-03-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-022-03021-8 |
| _version_ | 1798005418199351296 |
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| author | SiYu Xu YaoXi Liu GuangHui Zhu Kun Liu Jin Tang JiangYan Wu An Yan Fei Jiang ShaSha Mo HaiBo Mei |
| author_facet | SiYu Xu YaoXi Liu GuangHui Zhu Kun Liu Jin Tang JiangYan Wu An Yan Fei Jiang ShaSha Mo HaiBo Mei |
| author_sort | SiYu Xu |
| collection | DOAJ |
| description | Abstract Background Reconstruction of large tibial defects is often a major challenge in limb salvage. This study aimed to evaluate initial follow-up results of ipsilateral fibula transfer for the treatment of large tibial defects in children. Methods A retrospective study was performed between September 2014 and April 2021. Ten children were identified as having large tibial defects. The children underwent ipsilateral fibula transfer. We then evaluated initial healing, tibial length discrepancy, ankle varus/valgus, fibular position, refracture, infection, and function. Results Five boys and five girls, with an average age of 7.2 years, were evaluated. The transferred fibula was united in the patients. The mean follow-up period after fibular transposition was 43 months. The patients achieved primary bone union; the mean time to union was 8.4 months (range, 4–18 months). Complications included refracture (30%), infection (40%), tibia malunion (30%), ankle varus (30%), sensory loss of toes (10%), and ankle valgus (10%). No other major complications were observed. All 10 patients were able to perform activities of daily living and return to their normal activities. Conclusion Ipsilateral fibula transfer is a salvage surgery for the treatment of large tibial defects in children with congenital pseudoarthrosis of the tibia, traumatic nonunion of the tibia, and/or tibial defect after chronic osteomyelitis. However, long-term results still need to be followed up. |
| first_indexed | 2024-04-11T12:39:56Z |
| format | Article |
| id | doaj.art-97f526aab1114e358667a3629ef72a28 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T12:39:56Z |
| publishDate | 2022-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-97f526aab1114e358667a3629ef72a282022-12-22T04:23:32ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2022-03-0117111110.1186/s13018-022-03021-8Evaluation of the efficacy of ipsilateral fibular transfer for reconstruction of large tibial defects in children: a retrospective studySiYu Xu0YaoXi Liu1GuangHui Zhu2Kun Liu3Jin Tang4JiangYan Wu5An Yan6Fei Jiang7ShaSha Mo8HaiBo Mei9Academy of Pediatrics of University of South China, Department of Pediatric Orthopaedics, Hunan Children’s HospitalAcademy of Pediatrics of University of South China, Department of Pediatric Orthopaedics, Hunan Children’s HospitalAcademy of Pediatrics of University of South China, Department of Pediatric Orthopaedics, Hunan Children’s HospitalAcademy of Pediatrics of University of South China, Department of Pediatric Orthopaedics, Hunan Children’s HospitalAcademy of Pediatrics of University of South China, Department of Pediatric Orthopaedics, Hunan Children’s HospitalAcademy of Pediatrics of University of South China, Department of Pediatric Orthopaedics, Hunan Children’s HospitalAcademy of Pediatrics of University of South China, Department of Pediatric Orthopaedics, Hunan Children’s HospitalDepartment of Orthopaedics, Dalian Children’s HospitalAcademy of Pediatrics of University of South China, Department of Pediatric Orthopaedics, Hunan Children’s HospitalAcademy of Pediatrics of University of South China, Department of Pediatric Orthopaedics, Hunan Children’s HospitalAbstract Background Reconstruction of large tibial defects is often a major challenge in limb salvage. This study aimed to evaluate initial follow-up results of ipsilateral fibula transfer for the treatment of large tibial defects in children. Methods A retrospective study was performed between September 2014 and April 2021. Ten children were identified as having large tibial defects. The children underwent ipsilateral fibula transfer. We then evaluated initial healing, tibial length discrepancy, ankle varus/valgus, fibular position, refracture, infection, and function. Results Five boys and five girls, with an average age of 7.2 years, were evaluated. The transferred fibula was united in the patients. The mean follow-up period after fibular transposition was 43 months. The patients achieved primary bone union; the mean time to union was 8.4 months (range, 4–18 months). Complications included refracture (30%), infection (40%), tibia malunion (30%), ankle varus (30%), sensory loss of toes (10%), and ankle valgus (10%). No other major complications were observed. All 10 patients were able to perform activities of daily living and return to their normal activities. Conclusion Ipsilateral fibula transfer is a salvage surgery for the treatment of large tibial defects in children with congenital pseudoarthrosis of the tibia, traumatic nonunion of the tibia, and/or tibial defect after chronic osteomyelitis. However, long-term results still need to be followed up.https://doi.org/10.1186/s13018-022-03021-8Ipsilateral fibula transferFibular centralizationCongenital pseudoarthritis of the tibiaLarge tibial defects |
| spellingShingle | SiYu Xu YaoXi Liu GuangHui Zhu Kun Liu Jin Tang JiangYan Wu An Yan Fei Jiang ShaSha Mo HaiBo Mei Evaluation of the efficacy of ipsilateral fibular transfer for reconstruction of large tibial defects in children: a retrospective study Journal of Orthopaedic Surgery and Research Ipsilateral fibula transfer Fibular centralization Congenital pseudoarthritis of the tibia Large tibial defects |
| title | Evaluation of the efficacy of ipsilateral fibular transfer for reconstruction of large tibial defects in children: a retrospective study |
| title_full | Evaluation of the efficacy of ipsilateral fibular transfer for reconstruction of large tibial defects in children: a retrospective study |
| title_fullStr | Evaluation of the efficacy of ipsilateral fibular transfer for reconstruction of large tibial defects in children: a retrospective study |
| title_full_unstemmed | Evaluation of the efficacy of ipsilateral fibular transfer for reconstruction of large tibial defects in children: a retrospective study |
| title_short | Evaluation of the efficacy of ipsilateral fibular transfer for reconstruction of large tibial defects in children: a retrospective study |
| title_sort | evaluation of the efficacy of ipsilateral fibular transfer for reconstruction of large tibial defects in children a retrospective study |
| topic | Ipsilateral fibula transfer Fibular centralization Congenital pseudoarthritis of the tibia Large tibial defects |
| url | https://doi.org/10.1186/s13018-022-03021-8 |
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