Journal of Musculoskeletal Trauma

Nonunion of Humeral Intercondylar Comminuted Fracture Treated with Fibular Graft: A Case Report: Jin Rok Oh, Chang Ho Lee, Ki Yeon Kwon, Hoi Jeong Chung; J Korean Fract Soc 2010;23(1):118-121. Published online January 31, 2010; DOI: https://doi.org/10.12671/jkfs.2010.23.1.118

Nonunion of comminuted distal humeral fracture is troublesome problem to orthopedic surgeon. We report a case of 59 years old woman, who suffered nonunion of comminuted distal humeral fracture previously treated by open reduction and internal fixation with plate and screws concomitantly autoiliac bone graft. We reconstructed humeral condyle with fibular inlay graft inside cortical shell of intercondylar bone fragment and obtained excellent result in radiological and functional outcome.

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Update 1 of: Destruction and Detection of Chemical Warfare Agents
Yoon Jeong Jang, Kibong Kim, Olga G. Tsay, David A. Atwood, David G. Churchill
Chemical Reviews.2015; 115(24): PR1. CrossRef

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Treatment of Large Bone Defect of Femorl Shaft with Vascularized Fibular Graft and Ender Nail: A Case Report: Song Lee, Dong Ki Ahn, Sung Wook Chun, Sun Young Chung, Hyun Soo Kim; J Korean Soc Fract 2003;16(3):340-347. Published online July 31, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.3.340

Abstract PDF: Vascularized fibular graft is one of the well accepted methods in the treatment of large bone defect of femoral shaft. But bone fixation with Ender nails through the same incision of bone graft has never been reported. We performed vascularized fibular graft and bone fixation with Ender nails through single medial skin incision and permitted physiologic stress. We achieved early radiologic union and medullary widening and the patient could return to work 9 months after the accident. We would like to report such an experience of treatment with the reference of literature.

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Vascularized Fibular Graft in the Treatment of Chronic Osteomyelitis of Long Tubular Bone: Kwang Suk Lee, Sang Won Park, Kyung Jo Woo, Jong Won Kim; J Korean Soc Fract 1997;10(2):365-370. Published online April 30, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.2.365

Abstract PDF: Previous management of chronic osteomyelitis has included antibiotic therapy, radical debridement, skin-grafting, distant cross-leg flaps, and local muscle flaps. Each of these modalities of treatment has limitations. However, over the last 20 years, vascularized fibular bone grafts have proved to be a valuable method of reconstruction of skeletal defects in the extremities following both infected and uninfected skeletal nonunions unresponsive to conventional methodology. We evaluated the efficacy of vascularized fibular graft in the treatment of chronic osteomyelitis of long bone. From August 1988 to June 1995, fourteen cases of chronic osteomyelitis of long bone which were followed for an average of 3 years duration were treated by vascularized fibular graft at the Department of Orthopaedic Surgery, Korea University Hospital. The results were as follows; 1. Even if the long tubular bone infection was uncontrolled, vascularized fibular graft could be performed and it was highly resistent to local infection. 2. Twelve cases (85.7%) out of a fourteen cases had primarily obtained bony union. 3. Free vascularized fibular graft is significant and reliable porcedure of bone grafting for the treatment of chronic osteomyelitis of long tubular bones.

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Free Fibular Graft to the Segmental Dedect of Long Bone: Yung Khee Chung, Jung Han Yoo, Yong Han Woo; J Korean Soc Fract 1989;2(2):281-287. Published online November 30, 1989; DOI: https://doi.org/10.12671/jksf.1989.2.2.281

Abstract PDF: Since the documentation of bone graft techniques by Walther in 1820, it has been used widely for the treatment of nonunion, and bone defect due to osteomyelitis, neoplasm, or trauma, and ofr arthrodesis. But many problems are still remained in the treatment of the extensive bone defect. Therefore, varous techniques have evolved to conventional autogenous graft, fresh allograft bone trandsplantation, or free vascularized bone graft. According to Dell P.C. et al, the vascularized grafts were transiently stronger than the conventional nonvascularized ones at six weeks postoperatively because of the differences in the repari mechanisms but thereafter there were no appreciable differences. Therefore, except an inadequate soft tissue bed such as in a chronically infected nonunion, a congenital pseudarthosis, and a previously irradiated or heavily scrred soft tissue bed, we expect good result with conventional nonvascularized fibular graft when there is a segmental bone defect less than 12cm, and/or inadequate fascilities for the microvascular surgery. The four patients with the segmental defect of long bone were treated with conventional nonvascularized fibular graft at Kang Nam Sacred Heart Hospital between July 1980 and October 1988, and are reported with reviews of literatures.

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