pedicled vascularized fibula for gap non union tibia

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good union



rail road fixator used


uniting bone




These are X rays of patients of gap nonunion of fracture tibia ,who have under gone ipsilateral vascularised fibula graft .

All these patients were young men who had closed fracture tibia which has gone into non union with resultant shortening.



Pedicled vascularized ipsilateral fibula was used to bridge the bone gap and fix the fracture .Rail road fixator was used to stabilize the construct and support it. One screw was always used in lower end to fix the bone graft.
All these patients had good union , time taken to full weight bearing was around one year on average. Ranging from six months to 18 months.no patient has infection or wound healing issues.  Rail road fixator was removed once the  good radiological and clinical union was achieved.

It is a good option for patients and places where financial, technical constraints prohibit extensive microsurgical exercise.

Dr Adhishwar Sharma
MB,BS ,MS General Surgery PGIMER Chandigarh

Mch Plastic Surgery
Fellowship in hand and microvascular surgery
Brahmanandclinic.com ., adhishwar7@gmail.com
8860650846












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