Rajendra Kumar Shakunt, Brijesh Sharma, Sushil Kumar Saini, Sabeel Ahmad, Ashwani Sadana and CP Pal*

Department of Orthopaedics, S N Medical College, India

*Corresponding Author: Department of Orthopaedics, S N Medical College, India.

Received: August 10, 2021; Published: September 06, 2021

Abstract

Introduction: Treating a large bone defects is really challenging for orthopaedician. The bone defect created by tumour excision, bone loss as sequelae to infection and trauma. Various methods popularly cancellous Bone graft, free fibular graft, and bone transport with the help of LRS (Limb Reconstruction System) and external fixator technique used to fill the defect. Fibula is very common bone to use for filling a defect created after bone resection either after tumor or in bony nonunion. The treatment of these bone gaps has evolved significantly during the past two decades. This study aims to assess the role of fibular grafting (nonvascularized) in gap non-union and bony defect created after tumour resection as a treatment modality in terms of financial burden, hospital stay as well as technically demanding.

Method: This was a prospective study conducted at S.N Medical College, Agra from April 2018 to May 2021. In this period of three years we analysed hospital records to find out the cases treated by fibular strut grafts. Among 30 cases 20 were taken those fulfilling the inclusion criteria, in which there were 15 tumours and 5 post traumatic shortening.

Results: This study had 65% (13/20) stable, pain free limb movements, resumed over a period of one year without any assisted device. 7 patients who did not gain normal functions, in which 3 cases had fair result, and 4 got failed.

Conclusion: Overall experiences with non-vascularized fibular graft for reconstructing bony defects are promising, more handy and universal.

Keywords: Fibula; Graft; Nonunion; Tumour; Bone

References

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Citation

Citation: CP Pal., et al. “To Assess the Fibular Grafting in Gap Nonunion and Bony Defects Created by Trauma or Tumour Excision".Acta Scientific Orthopaedics 4.10 (2021): 13-18.

Copyright

Copyright: © 2021 CP Pal., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.